Limited Liability Limited Partnership

Contact Information

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First Last

Email*

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Phone*

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Requested Business Name*

2nd Choice of Business Name

3rd Choice of Business Name

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Principal Office Address

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Email

Primary Email Address

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Registered Agent Information

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Registered Agent
Business Name

Registered Agent Name

First Middle Last

Business name

Address

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General Partners

Organizer Type	Actions

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Optional Provisions

Filer's Certification Signature

By checking this box and continuing, each signatory certifies that the information provided herein is true, accurate, and complete to the best of his/her knowledge and belief, and that he/she has authorized the affixing of his/her electronic signature in accordance with the Electronic Signatures in Global and National Commerce Act (e-Sign) and O.C.G.A. § 10-12-1 et seq. Further, each signatory understands that his/her electronic signature has full legal effect and enforceability and he/she intends this form, as signed, to be filed with the office of the Georgia Secretary of State.

Authorizer:

General Partner
Attorney in Fact

Authorizer Full Name

First Last

Application Fee

Price:

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Priority Request / Rush Processing + $75

Total

$0.00

NAME:*

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Signature*

CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected applications. I understand that my application will be processed in the order in which it is received by Corporation Center, a private fee-for-service company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Corporation Center’s no refund policy.

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