Limited Liability Partnership Notice Form Page 2
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SECTION 5
(Only required if changes are being made to the Registered Agent)
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: ____________________________________________________________________________
Physical Location Address (required):
______________________________________________________________
City _____________________________________________ WA Zip Code ____________
Mailing or Postal Address (optional):
_______________________________________________________________
City _____________________________________________ WA Zip Code _____________
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named corporation. I
understand it will be my responsibility to accept Service of Process on behalf of the corporation; to forward mail
to the corporation; and to immediately notify the Office of the Secretary of State if I resign or change the
Registered Office Address.
X___________________________________________________________________________
Signature of Registered Agent
Printed Name
Date
SECTION 6
NAME, ADDRESS AND SIGNATURE(S) OF AUTHORIZED PARTNER(S):
(If necessary, attach additional names, addresses, and signatures)
Name: __________________________________________________________________________________
Address: ____________________________________________________________________________
City__________________________________ State ______ Zip Code _______ __
X __________________________________________________________________________
Signature of Partner
Printed Name/Title
Date
Phone
Name: __________________________________________________________________________________
Address: ____________________________________________________________________________
City__________________________________ State ______ Zip Code _______ __
X __________________________________________________________________________
Signature of Partner
Printed Name/Title
Date
Phone
Limited Liability Partnership – Notice
Washington Secretary of State
Revised 02/09
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Parent category: Legal