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Delaware LLP Formation Form

In the case of wanting to create a limited liability partnership in the State of Delaware, the following form has to be completed and submitted. A $200 fee has to be submitted along with this form.

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Statement of Qualification of  
Limited Liability Partnership 
Delaware Division of Corporations 

401 Federal Street – Su	
 ite 4 

Dover, DE  19901 
	
Ph: 302-739-3073
 
Fax: 302-739-3812
 	
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 Cert ificate is $200.00 per partner.   Please make 
your check payable to “Delaw are Secretary of State”.  
For the convenience of processing your  order in a timely manner, please include a 
cover letter with your name, address and tele phone/fax number to enable us to contact 
you if necessary.  Please make sure you thorough ly 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-
3073	
. 
        Si	

ncerely,
        Department  of State
        Division of Corporations 
encl. 
rev. 06/04

STATE OF DELAWARE 

STATEMENT OF QUALIFICATION 
	
in the city of	  	
The name and address of the registered agent is	 	
                                           	. 	
IN WITNESS WHEREOF,  the undersigned have executed this Statement of 	
Qualification this	                	 day of	                                          	,                         	A.D. 	
     By:_______________________________ 
      Authorized Person or Partner 
      	
 Name	:                                                                  Type or Print
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