Limited Liability Partnership

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Mail
Email

Name

First Last

Address

Street Address City State ZIP Code

Email

Check if applicable

I qualify for a veteran/reservist-owned small business fee exemption (see instructions)

The name of the domestic limited liability partnership or limited liability limited partnership is

Please provide 3 choices for the name, in order of preference, so in the event your preferred choice is not available we can proceed with your next choice. Designator is required, i.e., “company,” “limited” or “limited liability partnership” or abbreviation.

1st Choice*

2nd Choice

3rd Choice

Check and complete one of the following:

The partnership is a General Partnership
The partnerships is a Limited Partnership

Address of the Principal Place of Business

Street Address County City State ZIP Code

Address of the Registered Office in this Commonwealth

Street Address County City State ZIP Code

Name of Commercial Registered Office Provider

County of Commercial Registered Office Provider

Effective date of Statement of Registration (check, and if appropriate complete, one of the following):

The Statement of Registration shall be effective upon filing in the Department of State.
The Statement of Registration shall be effective on

Date

Time

:

Contact Information

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$0.00

Consent

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

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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