Important: Read instructions before completing form.
Non-Refundable Processing Fee: $22.00
1. General Partnership Name:
2. Principal office address:
____________________________________________________________________________________________
Address City State Zip
3. The name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent):
_______________________________________________________________________________________
The address must be listed if you have a non-commercial registered agent. See instructions for further details.
Address of the Registered Agent: __________________________________________________________
Utah Street Address Required, PO Boxes can be listed after the Street Address
City: State UT Zip:
4a. Authorized Partner:
(Partners are optional)
Name: ______________________________________________________________
_____________________________________________________________
Street Address
____________________________________________________________________________________________
City State Zip
4b. Authorized Partner:
(Partners are optional)
(attach additional pages if needed
to list more partners)
Name: ______________________________________________________________
_____________________________________________________________
Street Address
____________________________________________________________________________________________
City State Zip
5. Under penalties of perjury and as an authorized party, I declare that this application has been examined by me and is, to
the best of my knowledge and belief, true, correct, and complete.
Authorized Signature: Name & Title:
6. Purpose:
(optional)
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes,
you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Optional Inclusion of Ownership Information: This information is not required.
Is this a female owned business? Yes No
Is this a minority owned business? Yes No If yes, please specify:
State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Statement of Partnership Authority (General Partnership)
This form must be type written or computer generated.
Sign here after the form is printed
Select/Type the race of the owner here
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
