Limited Liability Partnership Statement Of Qualification - Kansas Secretary Of State
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2Fees will increase September 1, 2003. If you file this report
before September 1, the fee is $150.00. If you file this report
after September 1, the fee is $165.00.
Contact Information
KANSAS SECRETARY OF STATE
QLLP
Kansas Secretary of State
Limited Liability Partnership Statement of Qualification
Ron Thornburgh
51
Memorial Hall, 1st Floor
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
1. Name of the limited liability partnership:
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print
_________________________________________________________
the form and 'Reset' will clear the entire
form.
2. Partnership’s principal address:
Address must be a street address. A post office box is unacceptable.
Do not write in this space
_________________________________________________________
Street address
_________________________ ______________ _______________
City
State
Zip
3. If different from above, the address of any partnership office in Kansas:
_________________________________________
_____________________________
__________________ _____________
Street address
City
State
Zip
4. If there is no office in Kansas, give the name and street address of the partnership’s agent for service of process. The agent must be
an individual resident or person authorized to do business in this state.
___________________________________________________________________________________________________________
Name
_________________________________________
_____________________________
__________________ _____________
Street address
City
State
Zip
5. The future effective date of qualification, if not effective upon filing: _________________________________________________
6. The above-named partnership elects to be (check one):
a foreign limited liability partnership from _________________
or
Home State
a Kansas limited liability partnership
We declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.
Executed on the ________ of ___________ , _____________ by two
partners.
Day
Month
Year
Signature
Signature
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