Certificate of Formation-LLC Washington Secretary of State Revised 10.2019
INSTRUCTIONS - CERTIFICATE OF FORMATION OF A LIMITED LIABILITY COMPANY
RCW 23.95 and 25.15
General Instructions: Use dark ink only. Complete the entire form and enter all requested information in the fields provided. A
fillable .pdf version of this form is available for download, or you can file online at www.sos.wa.gov/corps
Mail: Send the completed form and payment to the address listed above.
Payment: Make checks or money orders payable to “Secretary of State.” Checks cannot be backdated more than 60 days from the
date the check is received.
Expedited Service: If expedited service is requested, include an additional $50 fee and check the box indicating expedited service on
Fees: The filing fee for the Certificate of Formation of a Limited Liability Company is $180.00
Initial Report: An initial report is due within 120 days of the effective date of this formation per RCW 23.95.255. The report may be
included with this formation at no additional fee. If the Initial Report is not submitted with this formation, a $10 filing fee will apply.
ALL FILING FEES ARE NON-REFUNDABLE. ALL DOCUMENTS ARE PUBLIC RECORD
(1) Unified Business Identifier (UBI): If the entity has previously filed with another state agency such as the Department of Revenue,
the Department of Labor and Industries, or the Employment Security Department, the entity may already have a 9-digit UBI number
that can be entered. Do not enter the UBI number of a Sole Proprietorship or General Partnership. If the entity does not have a UBI
number, select “No” and continue with the filing. If “No” is selected, the entity will be issued a UBI number upon successful
completion of the filing.
(2) Entity Name: In accordance with the RCW 23.95.305, a Limited Liability Company name must contain the words Limited Liability
Company, Limited Liability Co., or the abbreviation of L.L.C. or LLC. If the designation is omitted, it will default to LLC when
processed. A Limited Liability Company name must be distinguishable upon the records of the Secretary of State from any other
entity already registered with the Secretary of State’s Office.
If a name has been reserved and a Name Reservation Number has been provided, enter the Number and Name in the appropriate
section. If a Name Reservation has not been provided, select “no” and enter a name to submit for review.
(3) Period of Duration: Select a period of duration. Only one selection will be accepted. Perpetual duration means “on-going” until
the entity is either administratively or voluntarily dissolved. A specified date or specified number of years, may be selected. If a
specified date or years is selected the entity will be administratively dissolved as recorded in this section. If no selection is provided,
it will default to perpetual.
(4) Effective Date: Select the date this filing is to be effective. If “Date of Filing” is selected, the effective date will be the date the
submission is completed by our office. A future effective date may be specified which may not be more than 90 days after the date
(5) Registered Agent: All entities must have a Registered Agent in Washington State per RCW 23.95.415. Select only one type of
agent. The Consent of the Registered Agent must be signed, regardless of the type of Registered Agent. Print the name and title of
the person signing and provide the date of signature.
Corporations & Charities Division
801 Capitol Way S
Olympia, WA 98501-1226
PO Box 40234
Olympia, WA 98504-0234