Non-Refundable Processing Fee: $37.00
Pursuant to UCA § 48-1d-1101(6), the individual named below causes this Amendment to the Statement of
Qualification to be delivered to the Utah Division of Corporations for filing, and states as follows:
Entity Number: ___________________
The name of the limited liability partnership is: ____________________________________________________
The Statement of Qualification shall be amended as set forth herein (complete all that apply):
There is a change in the name of the limited liability partnership to:
_____________________________________________________________________________________
The Statement of Qualification is amended as follows:
Amendment was approved by all partners.
Future effective date (if not to be effective upon filing) __________________(00''<<<<not to exceed 90 days)
Under penalties of perjury, I declare that this Amendment of Statement of Qualification has been
examined by me and is, to the best of my knowledge and belief, true, correct, and complete.
Name: ____________________________________ Signed: _______________________________
Title: _____________________________________ Dated: ________________________________
Under GRAMA {63G-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.
State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Amendment to Statement of Qualification for Limited Liability Partnership
This form must be type written or computer generated.
Sign here after the form is printed
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
