Tribal Registration Statement (Limited Liability Partnership) Form 2014

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State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Tribal Registration Statement (Limited Liability Partnership)
Print
Clear Form
Instructions
Important: Read instructions before completing form.
Non-Refundable Processing Fee: $22.00
:
1. Limited Liability Partnership name
The last words of the name must be "Limited Liability Partnership" or LLP.
___________________________________________________________________________________________________
(Name of Limited Liability Partnership in the Home State –
see instructions for name
requirements)
2. Tribal nation of qualification:
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: _________________________________________________________
(Partners are optional)
__________________________________________________________
Street Address
_______________________________________________________________________________________
City
State
Zip
5b. Partner Name & Address:
Name: _________________________________________________________
(Partners are optional)
__________________________________________________________
Street Address
_______________________________________________________________________________________
City
State
Zip
:
6. The Limited Liability 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 perjury and as an authorized partner, I declare that this application, and if applicable, the statement of change 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.
Sign here after the form is printed
Authorized Signer Signature:
Name & Title:
8. Purpose of the Limited Liability 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
Select/Type the race of the owner here
Is this a minority owned business?
Yes
No
If yes, please specify:
/contactus.html
Division's Website:
Mailing/Faxing Information:
01/14

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