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MINNESOTA SECRETARY OF STATE
availability of
your entity
FOREIGN LIMITED LIABILITY PARTNERSHIP
name before
STATEMENT OF QUALIFICATION
you file.
CHAPTER 323A
PLEASE TYPE OR PRINT IN BLACK INK.
READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM
Fee: $135.00
1. List the Partnership name: ______________________________________________________________________________
_____________________________________________________________________________________________________
2. Governed Under the Laws of the State of:__________________________________________________________________
3. Address of the partnership’s chief executive office:
_____________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City State ZIP
(Please note: PO Box is unacceptable)
4. List office of partnership in Minnesota, if different from item 2:
____________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City State ZIP
(Please note: PO Box is unacceptable)
5. If there is no office in Minnesota, list name and address of agent of partnership in Minnesota for service of process:
Agent Name: ________________________________________________________________________________________
___________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City State ZIP
(Please note: PO Box is unacceptable)
6. The effective date of this filing if different from the date of filing, is: _____________________________________________.
7. I certify that I am a partner authorized to sign this document on behalf of this partnership and I further certify that by
signing this document I am subject to the penalties of perjury as set forth in Minnesota Statutes, section 5.15 as if I had
signed this document under oath. Note that this statement must be signed/executed by at least two (2) partners.
_________________________________________ __________________________________________________________
Signature of a partner Signature of a partner
_________________________________________ __________________________________________________________
Print name and daytime telephone number Print name and daytime telephone number
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Bus82 Foreign Limited Liability Partnership Statement Of Qualification Rev. 5-07