263
STATEMENT OF QUALIFICATION OF
LIMITED LIABILITY PARTNERSHIP
Title 30, Chapters 21 and 23, Idaho Code
RESET FORM
Filing fee: $100 typed, $120 not typed
Complete and submit the application in duplicate.
1.
The name of the limited liability partnership is:
(Remember to include the words "Limited Liability Partnership," "Registered Limited Liability Partnership, "or the permitted abbreviations)
(If the limited liability partnership is a professional entity (as indicated in #7) the name may include the word "professional" before the word "limited," or
the letter "P" at the beginning of any of the permitted abbreviations.)
2.
The street address of the limited liability partnership's principal office is:
(Street Address)
(Mailing Address, if different)
3.
The street address of an office in this state, if any (if different from #2):
(Street Address)
4.
Name and street address of the registered agent:
(Name)
(Address)
5.
Mailing address for future correspondence (annual report notices):
(Address)
6.
By filing this document with the Secretary of State, the partnership named herein elects to be a limited liability partnership.
7.
By entering one of the professions permitted by 30-21-901(b), Idaho Code, in the space below, and by filing this
document with the Secretary of State, the partnership agrees that it is duly licensed or otherwise legally authorized to
render the selected professional service, and that it is a professional limited liability partnership.
.
(If applicable, enter one of the permitted professional services here. *Check instructions for list of permitted professions)
8.
Signatures of all partners:
Secretary of State use only
Printed Name:
Signature:
Printed Name:
Signature:
Rev. 08/2015