Application For Registration Foreign LP {55652}

APPLICATION FOR REGISTRATION FOREIGN LIMITED PARTNERSHIP State Form 55652 (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. 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 PARTNERSHIP State Form 55652 (R2 / 6-16) Approved by State Board of Accounts, 2016 Indiana Code 23-16-10-2 23-16-12-4 FILING FEE: $125.00 APPLICATION FOR REGISTRATION OF __________________________________________________________________________________________________ A FOREIGN LIMITED PARTNERSHIP TO TRANSACT BUSINESS IN THE STATE OF INDIANA. The undersigned general partner, desiring to effectuate the admittance of the above Limited Partnership 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 AND DATE OF FORMATION State or jurisdiction of organization Date of formation (month, day, year) The undersigned general partner certifies that the above named entity validly exists as a limited partnership under the laws of the jurisdiction of its organization. ARTICLE III ­ BUSINESS PURPOSE State the nature or business purpose to be promoted in Indiana. ARTICLE IV ­ REGISTERED OFFICE AND AGENT Name of Registered Agent (Cannot be the corporation itself.) Address of Registered Office (number and street ­ 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 ­ GENERAL PARTNERS List the names and addresses of each general partner. (Please attach additional sheets if necessary.) Name Title Address (number and street, city, and state and ZIP code) (Continued on the next page.) American LegalNet, Inc. www.FormsWorkFlow.com ARTICLE VI ­ DATE OF TRANSACTION State the date that foreign Limited Partnership first transacted, or intends to transact, business in Indiana (month, day, year) ARTICLE VII ­ RECORDS Official address where a list of names and addresses of Limited Partners and the capital contributions of each is kept (number and street) City State ZIP code The above named foreign limited partnership will keep the records of all limited partners' names, addresses and capitol contributions of each until the registration is cancelled in Indiana. SIGNATURE In witness whereof, the undersigned being the ___________________________________________________________ of said Limited Partnership (general partner) signs this 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