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PENNSYLVANIA DEPARTMENT OF STATE
CORPORATION BUREAU
Application for Registration - Foreign
(15 Pa.C.S.)
Registered Limited Liability General Partnership (§ 8211)
Registered Limited Liability Limited Partnership (§ 8211)
Limited Partnership (§ 8582)
Limited Liability Company (§ 8981)
Document will be returned to the
Name
name and address you enter to
the left.
Address
City
State
Zip Code
Fee: $250
In compliance with the requirements of the applicable provisions (relating to registration), the undersigned, desiring to
register to do business in this Commonwealth, hereby states that:
1
The name of the limited liability company/limited liability partnership/limited partnership in the jurisdiction in
.
which it is formed:
2
The name under which the limited liability company/limited liability partnership/limited partnership proposes to
.
register and do business in this Commonwealth is:
3. The name of the jurisdiction under the laws of which it was organized and the date of its formation:
Jurisdiction:
Date of Formation:
.
4. The (a) address of its initial registered office in this Commonwealth or (b) name of its commercial registered
office provider and the county of venue is:
(a) Number and street
City
State
Zip
County
(b) Name of Commercial Registered Office Provider
County