Limited Liability Company Registration Form - Maryland Department Of Assessments And Taxation

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State Department of Assessments and Taxation
LIMITED LIABILITY COMPANY REGISTRATION
(FEE $100.00)
(For non-Maryland Limited Liability Company)
***This document must be accompanied by written proof of existence from the home
state, equivalent of a Certificate of Good Standing.***
___________________________________ ___
1) Full legal name in home jurisdiction:
_______________________________ ___________________ _________
2) Name it will use in Maryland if different from above:
____________________________________________________________
____________________________________________________________
(Must include “Limited Liability Company” or “LLC”)
__________________________________________
_
3) State of Formation:
4) Date of Formation: ______________________________________________________________________________
5) Principal Office Address: _________________________________________________________________________
6) Nature of Business in Maryland: ____________________________________________________________________
____________________________________________________________
7) Name and Address (No P.O. Boxes) of Resident Agent for Service of Process in Maryland:
____________________________________________________________
____________________________________________________________
If no Resident Agent in Maryland is named or if the Agent cannot be found or served, this Department is
appointed as Resident Agent of this Limited Liability Company.
Has this Limited Liability Company done business in Maryland prior to this registration?
Yes
No
(If yes, an additional $200 Penalty Must accompany this registration)
____________________________________
(Signed: Authorized Person)
I hereby consent to my designation in this document as resident agent for this Limited Liability Company.
____________________________________
(Signed: Resident Agent)
09/13
Room 801-301 West Preston Street – Baltimore, Maryland 21201
Phone: (410) 767-1350 – TTY Users call Maryland Relay 1-800-735-2258
Toll Free in MD: 1-888-246-5941 – website:
This form can be filed online.
Click here to access the
MD EGov site.

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