Statement of Qualification of
Limited Liability Partnership
Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Dear Sir or Madam:
Enclosed is the Statement of Qualification of a Delaware Limited Liability
Partnership to be filed in accordance with the Limited Liability Partnership Act of the
State of Delaware. The fee to file the Certificate is $200.00 per partner. Please make
your check payable to “Delaware Secretary of State”.
For the convenience of processing your order in a timely manner, please include a
cover letter with your name, address and telephone/fax number to enable us to contact
you if necessary. Please make sure you thoroughly complete all information requested on
this form. It is important that the execution be legible, we request that you print or type
your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
Division of Corporations
STATE OF DELAWARE
STATEMENT OF QUALIFICATION
The name of the limited liability partnership is
The address of its registered office in the State of Delaware is
in the city of
The name and address of the registered agent is
The number of partners of the limited liability partnership is
The partnership elects to be a limited liability partnership.
The effective date of this Statement of Qualification is .
IN WITNESS WHEREOF, the undersigned have executed this Statement of
Qualification this day of , A.D.