Important: Read instructions before completing form. Non-Refundable Processing Fee: $70.00
1. Name of Limited Liability
Limited Partnership:
(see instructions for name requirements)
2. Principal office address:
________________________________________________________
Street 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. General Partner Name
& Address:
Name: ______________________________________________________________
____________________________________________________
Street Address
__________________________________________________________________________________
City State Zip
Signature:
4b. General Partner Name
& Address:
Name: ______________________________________________________________
_______________________________________________________
Street Address
__________________________________________________________________________________
City State Zip
Signature:
5. This Limited Partnership is a Limited Liability Limited Partnership.
6. Under penalties of perjury, I declare that this Certificate of Limited Liability Limited Partnership has been examined by
me and is, to the best of my knowledge and belief, true, correct and complete.
Signature: Name and Title:
7. Purpose of the Limited Liability Limited Partnership:
(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
Certificate of Limited Liability Limited Partnership
This form must be type written or computer generated.
Sign here after the form is printed
Sign here after the form is printed
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
