STATEMENT OF QUALIFICATION OF
LIMITED LIABILITY PARTNERSHIP
263
6. By ling this document with the Secretary of State, the partnership named herein elects to be a limited liability partnership.
Title 30, Chapters 21 and 23, Idaho Code
Base Filing fee: $100.00.
Complete and submit the application in duplicate.
Secretary of State use only
8. Signatures of all partners:
Printed Name:
Signature:
Printed Name:
Signature:
Rev. 07/2015
1. The name of the limited liability partnership is:
(Remember to include the words "Limited Liability Partnership," "Registered Limited Liability Partnership, "or the permitted abbreviations)
(If the limited liability partnership is a professional entity (as indicated in #7) the name may include the word "professional" before the word "limited," or
the letter "P" at the beginning of any of the permitted abbreviations.)
2. The street address of the limited liability partnership's principal ofce is:
(Zipcode)
(State)
(City)
(Street Address)
3. The street address of an ofce in this state, if any (if different from #2):
(Zipcode)
(State)
(City)
(Street Address)
4. Name and street address of the registered agent:
(Zipcode)
(State)
(City)
(Address)
(Name)
7. By entering one of the professions permitted by 30-21-901(b), Idaho Code, in the space below, and by ling this document
with the Secretary of State, the partnership agrees that it is duly licensed or otherwise legally authorized to render the
selected professional service, and that it is a professional limited liability partnership.
(Zipcode)
(State)
(City)
(Address)
5. Mailing address for future correspondence (annual report notices):
(Zipcode)
(State)
(City)
(Mailing Address, if different)
RESET FORM
.
INSTRUCTIONS
If the document is incorrect where can you be reached for questions?
Note: Complete and submit the application in duplicate.
• Line 1 - Enter the name of the Limited Liability Partnership. Pursuant to Idaho Code § 30-21-302, the
name of the limited liability partnership must end with the words Registered Limited Liability Partnership,
Limited Liability Partnership or one of the permitted abbreviations – L.L.P., R.L.L.P., LLP, or RLLP.
• Line 2 - Enter the street address of its principal ofce (not a PO Box or Personal Mail Box)
• Line 3 - If the address entered on line two is not in Idaho, enter the street address of an ofce in Idaho,
if any.
• Line 4 - Enter the complete name and mailing address of the registered agent. A registered agent is the
person designated to receive service of process upon litigation. A registered agent may be an individual
who is a resident of Idaho, or a business entity registered with the Secretary of State's ofce. Assumed
business names may not be registered agents. This person or business entity must be located in Idaho
at a physical address. Post Ofce boxes and commercial personal mail boxes are not acceptable.
• Line 5 - Enter the mailing address to which you would like future correspondence to be sent from the
Secretary of State's Ofce.
• Line 6 - Statement of declaration that the partnership elects to become a limited liability partnership by
ling the document with the Secretary of State.
• Line 7 - If the limited liability partnership elects to be a professional limited liability partnership, they do
so by selecting one of the following qualifed professions:
*30-21-901(b), Idaho Code For the purpose of this act, the professions shall include the practices of
architecture, chiropractic, dentistry, engineering, landscape architecture, law, medicine, nursing, occupational
therapy, optometry, physical therapy, podiatry, professional geology, psychology, certied or licensed public
accountancy, social work, surveying and veterinary medicine, and no others.
• Line 8 - Requires the signature of all partners of the limited liability partnership. The partners must be
identied by printing his/her name on the line provided.
Enclose the appropriate fee (make checks payable to Idaho Secretary of State:
a. If the application is typed the fee is $100.00.
b. If the application is not typed or a non standard form is used, the fee is $120.00.
c. If expedited service is requested, add $20.00 to the ling fee.
d. If the fees are to be paid from the ling party’s pre-paid customer account,
conspicuously indicate the customer account number in the cover letter or transmittal document.
Pursuant to Idaho Code § 67-910(6), the Secretary of State’s Ofce may delete a business entity ling
from our database if payment for the ling is not completed.
Mail or deliver to:
Ofce of the Secretary of State
700 West Jefferson
PO Box 83720
Boise ID 83720-0080
10. If you have questions or need help, call the Secretary of State’s Ofce at (208) 334-2301.
Phone Number
Email address
STATEMENT OF QUALIFICATION OF
LIMITED LIABILITY PARTNERSHIP
263
6. By ling this document with the Secretary of State, the partnership named herein elects to be a limited liability partnership.
Title 30, Chapters 21 and 23, Idaho Code
Base Filing fee: $100.00.
Complete and submit the application in duplicate.
Secretary of State use only
8. Signatures of all partners:
Printed Name:
Signature:
Printed Name:
Signature:
Rev. 07/2015
1. The name of the limited liability partnership is:
(Remember to include the words "Limited Liability Partnership," "Registered Limited Liability Partnership, "or the permitted abbreviations)
(If the limited liability partnership is a professional entity (as indicated in #7) the name may include the word "professional" before the word "limited," or
the letter "P" at the beginning of any of the permitted abbreviations.)
2. The street address of the limited liability partnership's principal ofce is:
(Zipcode)
(State)
(City)
(Street Address)
3. The street address of an ofce in this state, if any (if different from #2):
(Zipcode)
(State)
(City)
(Street Address)
4. Name and street address of the registered agent:
(Zipcode)
(State)
(City)
(Address)
(Name)
7. By entering one of the professions permitted by 30-21-901(b), Idaho Code, in the space below, and by ling this document
with the Secretary of State, the partnership agrees that it is duly licensed or otherwise legally authorized to render the
selected professional service, and that it is a professional limited liability partnership.
(Zipcode)
(State)
(City)
(Address)
5. Mailing address for future correspondence (annual report notices):
(Zipcode)
(State)
(City)
(Mailing Address, if different)
.