Important: Read instructions before completing form. Non-Refundable Processing Fee: $70.00
1. Limited Partnership name:
___________________________________________________________________________________________________
(Name of Limited Partnership in the Home State – see instructions for name requirements)
2. Jurisdiction of formation:
3. Principal office address:
_______________________________________________________________________________________
Address City State Zip
4. 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:
5a. Partner Name & Address:
Name: _________________________________________________________
__________________________________________________________
Street Address
_______________________________________________________________________________________
City State Zip
5b. Partner Name & Address:
Name: _________________________________________________________
__________________________________________________________
Street Address
_______________________________________________________________________________________
City State Zip
6. The Limited Partnership shall use as its name in Utah:
___________________________________________________________________________________________
Must be the same as number (1) unless the name is not available or permitted in Utah.
7. Under penalties of pe rjury and as a n authorized partner, I de clare that this application, and if applicable, the statement of c hange of
registered office and/or agent, has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete.
Authorized Signer Signature: Nam Title:
8. Purpose of the Limited Partnership:
(optional)
Under GRAMA {63-2-201}, all registration info rmation maintained by the Division is classified as public record. For con fidentiality 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
Foreign Registration Statement (Limited 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
