Application For Registration Foreign LLP {55640}

APPLICATION FOR REGISTRATION FOREIGN LIMITED LIABILITY PARTNERSHIP State Form 55640 (R2 / 6-16) Approved by State Board of Accounts, 2016 SECRETARY OF STATE BUSINESS SERVICES DIVISION 302 West Washington Street, Room E018 Indianapolis, IN 46204 Telephone: (317) 232-6576 www.sos.in.gov INSTRUCTIONS: 1. Use 8 ½"x11 white paper for attachments. 2. Please TYPE or PRINT in INK. 3. Please visit our office at www.sos.IN.gov 4. Make check or money order payable to the Secretary of State. 5. Submit original completed paperwork to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204. REQUIREMENTS: The name must contain Limited Liability Partnership, L.L.P. or LLP or other similar words or abbreviations as required in the jurisdiction of formation as the last words or letters of the name. INFORMATION CONTAINED ON THIS PAGE IS NOT PART OF THE PUBLIC RECORD. Name of business E-mail address of business (SOS use only) RETURN DOCUMENTS TO: Name Street address, line 1 Street address, line 2 City State ZIP code Telephone number E-mail address (If different from above ­ SOS use only) ( ) American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION FOR REGISTRATION FOREIGN LIMITED LIABILITY PARTNERSHIP State Form 55640 (R2 / 6-16) Approved by State Board of Accounts, 2016 Indiana Code 23-4-1-49 FILING FEE: $125.00 APPLICATION FOR REGISTRATION OF __________________________________________________________________________________________________ A FOREIGN LIMITED LIABILITY PARTNERSHIP TO TRANSACT BUSINESS IN THE STATE OF INDIANA. The undersigned partner, desiring to effectuate the admittance of the above LLP to transact business in the State of Indiana, certifies the following facts: ARTICLE I ­ NAME Fictitious Name (Only used if name in the application is not available in Indiana.) (See cover page.) ARTICLE II ­ JURISDICTION OF LLP AND DATE OF FORMATION State or jurisdiction in which partnership is registered Date of formation (month, day, year) ARTICLE III ­ ADDRESS OF PRINCIPAL OFFICE Address of Principal Office (number and street ) City State ZIP code ARTICLE IV ­ REGISTERED OFFICE AND AGENT Name of Registered Agent (Cannot be the corporation itself.) Address of Registered Office (number and street or building ­ PO box not accepted) Required: City State ZIP code IN By checking the box, the Signator(s) represent(s) that the Registered Agent named in the application has consented to the appointment of Registered Agent. ARTICLE V ­ BUSINESS PURPOSE Please give a brief statement describing the business in which the Limited Liability Partnership is engaged. ARTICLE VI ­ STATEMENT The undersigned partner certifies that the filing of the registration is evidence of the partnership's intention to act as a limited liability partnership. SIGNATURE In witness whereof, the undersigned being the ___________________________________________________________ of said LLP signs this (partner) Application for Registration, and verifies subject to penalties of perjury, that the facts contained herein are true, this ______ day of ________________________, 20______. Signature Printed name American LegalNet, Inc. www.FormsWorkFlow.com