Statement of Qualification of
Limited Liability Limited Partnership
Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Ph: 302-739-3073
Fax: 302-739-3812
Dear Sir or Madam:
Enclosed is the Statement of Qualification of a Delaware Limited Liability
Limited Partnership to be filed in accordance with the Limited Partnership Act of the
State of Delaware. Please be advised a Certificate of Limited Partnership must be filed
prior to or simultaneously with the Statement of Qualification. The fee to file the
Statement is $200.00 per partner. Please make your check payable to “Delaware
Secretary of State”.
For the convenience of processing your order in a timely manner, please include a
cover letter with your name, address and telephone/fax number to enable us to contact
you if necessary. Please make sure you thoroughly complete all information requested on
this form. It is important that the execution be legible, we request that you print or type
your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
Department of State
Division of Corporations
rev. 07/06
1. The name of the limited liability limited partnership is
2. The address of its registered office in the State of Delaware is.
The name and address of the registered agent is
3. The number of partners of the limited liability limited partnership is
4. The partnership elects to be a limited liability limited partnership.
IN WITNESS WHEREOF, the undersigned have executed this Statement of
Qualification this day of A.D.