Vermont Secretary of State
STATEMENT OF PARTNERSHIP AUTHORITY
of a General Partnership doing business in Vermont
PLEASE RETURN EVIDENCE OF FILING TO: (Name and Address)
PLEASE REVIEW INSTRUCTIONS ON REVERSE BEFORE BEGINNING
11 V.S.A. § 3223 DIVISION OF CORPORATIONS FORM PART-1
(REV. 08/01/14) Page 1 of 1 GENERAL PARTNERSHIP REGISTRATION
Expiration:
Processed by:
FOR OFFICE USE ONLY
Business ID:
1. BUSINESS NAME: REQUIRED-
2. BUSINESS PURPOSE: OPTIONAL- STATEMENT OR NAICS CODE OF PRIMARY GOODS OR SERVICES TO BE PROVIDED UNDER THIS BUSINESS NAME
3. BUSINESS ADDRESS(ES): REQUIRED-
a. PRINCIPAL OFFICE: REQUIRED.
Physical Address:
City/Town: State: ZIP: -
Mailing Address:
City/Town: State: ZIP: -
b. OFFICE IN VERMONT: REQUIRED IF - PRINCIPLE OFFICE PROVIDED IN LINE 2a. IS NOT LOCATED IN VERMONT.
Physical Address:
City/Town: State: VT ZIP: -
Mailing Address:
City/Town: State: VT ZIP: -
4. REGISTERED AGENT: REQUIRED
a. Name: INDIVIDUAL PERSONS ONLY
b. Street Address NO PO BOX
City/Town: State: VT ZIP: -
c. Mailing Address:
City/Town: State: VT ZIP: -
d. Email:
5. CURRENT PARTNERS AND AUTHORITY: REQUIRED- MUST LIST ALL OF CURRENT PARTNERS AND THEIR AUTHORITY BOTH REMAINING AND NEW PARTNERS
a. Name:
Address:
E-Mail Address:
This Partner is authorized to transfer real property.
This Partner is not authorized to transfer real property.
b. Name:
Address:
E-Mail Address:
This Partner is authorized to transfer real property.
This Partner is not authorized to transfer real property.
CHECK IF APPLICABLE:
This partnership has more than 2 partners. MUST ATTACH A COMPLETE LIST OF ADDITIONAL PARTNERS.
CERTIFICATION OF STATEMENT: REQUIRED
We hereby certify, under penalty of perjury (11 V.S.A. § 3205(c)), that the above information is accurate, a copy of this statement has been provided to each partner who’s signature
does not appear below (if any), and that this statement is provided in duplicate to the secretary of state with a Check or Money Order made payable to "VT SOS" in the amount of
$125.00.
Printed Name of Partner REQUIRED Signature Title Date
Printed Name of Partner REQUIRED Signature Title Date
PLEASE REVIEW INSTRUCTIONS ON REVERSE BEFORE FILING
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Vermont Secretary of State
STATEMENT OF PARTNERSHIP AUTHORITY
of a General Partnership doing business in Vermont
11 V.S.A. § 3223 DIVISION OF CORPORATIONS FORM PART-1
(REV. 08/01/14) Instruction Page GENERAL PARTNERSHIP REGISTRATION
SUBMISSION INSTRUCTIONS
a. This form must be filed in duplicate (1 original + 1 copy or-- 2 originals) with a check or money order, payable to “VT SOS,” in the amount
of $125.00, and a self-addressed stamped envelope.
b. This form can ONLY be accepted by Mail or In-person at:
Vermont Secretary of State
Corporations Division
128 State Street
Montpelier, VT 05633-1104
c. Please allow 7-10 business days, or more, from the day that this form received in our office, for processing and (if approved) for this
business appear on the website at www.vtsosonline.com, and for evidence of filing to be returned.
***THIS FILING IS NOW AVAILABLE ONLINE***
This form CANNOT be accepted by Phone, Fax, or E-mail; however, this filing is now available online:
o If you wish to submit this filing electronically, DO NOT fill out this form, please file online at
https://www.vtsosonline.com/online/Account?referrer=BF.
Payment for this form also CANNOT be accepted by credit card or e-check (ACH); however, payment by credit card or e-check
(ACH) is available by filing online:
o If you wish to submit payment by credit card or e-check (ACH), DO NOT fill out this form, please file online at
https://www.vtsosonline.com/online/Account?referrer=BF.
Online filing normally takes 3-5 business days or less.
FORM INSTRUCTIONS
General 1. Information on this form must be current as of the date this application is filed on behalf of the LLP.
General 2. All required information must be provided. If not, the secretary of state will promptly notify the reporting domestic or foreign LLP
in writing and return this filing to it for correction. If this filling is corrected to contain the information required and delivered to the secretary of
state within 30 days after the effective date of notice, it is deemed to be timely filed.
General 3. Unless earlier canceled, a filed statement of partnership authority is canceled by operation of law five (5) years after the date on
which the statement, or the most recent amendment, was filed with the secretary of state. (11 V.S.A. § 3223(g))
Line 1. Required: The business name of the partnership.
Line 2. Optional: A statement of the primary goods or service to be provided under this business name. Please see
http://www.naics.com/search for a list of standard industry titles and codes.
Line 3a. Required: The street address of its chief executive office.
Line 3b. Required If: The principal office (Line 3a) is not located in the State of Vermont.
Line 4. Requried: An agent appointed and maintained by the partnership; if this statement of partnership authority names an agent, the
agent shall maintain a list of the names and mailing addresses of all of the partners and make it available to any person on
request for good cause shown.
Line 5. - Required: The names of the partners authorized to execute an instrument transferring real property held in the name of the
partnership. (11 V.S.A. § 3223(a)(1)(C))
- Preferred: The Names and addressees of all partners. (11 V.S.A. § 3223(a)(1)(C))
Note: If there, are more than two (2) partners to be listed please utilize an attached continuation sheet of your own format, and indicate this
attachment in Line
Certification. Required: Must be signed by either (1) the Registered Agent Designated in Line 3, or (2) two partners listed in Line 4.
For Questions, please contact Corporations Division at: corps@sec.state.vt.us
or by phone at (802) 828-2386