Free Limited Partnership Periodic Report - Washington

Limited Partnership
See attached detailed instructions

Filing Fee $50.00 (5 year period)
UBI Number:

LIMITED PARTNERSHIP PERIODIC REPORT
Chapter 25.10 RCW SECTION 1
NAME OF LIMITED PARTNERSHIP: (as currently recorded with the Office of the Secretary of State)

SECTION 2
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT: Name: ____________________________________________________________________________ Physical Location Address (required): ______________________________________________________________ City _____________________________________________ WA Zip Code ____________ Mailing or Postal Address (optional): _______________________________________________________________ City _____________________________________________ WA Zip Code _____________ (REQUIRED OF NEW APPOINTMENTS ONLY) CONSENT TO SERVE AS REGISTERED AGENT: I consent to serve as Registered Agent in the State of Washington for the above named corporation. I understand it will be my responsibility to accept Service of Process on behalf of the corporation; to forward mail to the corporation; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address. X___________________________________________________________________________ Signature of New Registered Agent Printed Name Date

Limited Partnership ­ Periodic Report

Washington Secretary of State

This Box For Office Use Only

Page 1 of 2

Revised 11/08

Page 2 of 2

SECTION 3
ADDRESS OF THE PRINCIPLE PLACE OF BUSINESS IN WASHINGTON STATE: Street Address______________________________City___ PO Box____________________________________City___ __________State WA __________State WA Zip__________ Zip__________

SECTION 4
ADDRESS OF THE PRINCIPLE OFFICE IN ORIGINATING STATE/COUNTRY : (Foreign Entities) Street Address______________________________City___ PO Box____________________________________City___ __________State __________State Zip__________ Zip__________

SECTION 5
SIGNATURE : (see instructions page)
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.

X __________________________________________________________________________ Signature Printed Name & Title Date Phone

RCW 25.10.005 Periodic reports required -- Contents -- Due dates -- Rules.
(1) A limited partnership formed or registered under this chapter shall deliver to the secretary of state for filing periodic reports that set forth: (a) The name of the limited partnership; (b) The street address of its registered office and the name of its registered agent in this state; (c) In the case of a foreign limited partnership, the address of its principle office in the state or country under the laws of which it is formed; and (d) The address of the principle place of business of the limited partnership in this state. (2) Periodic reports are due every five years on the anniversary date of the formation or registration of the limited partnership. The secretary of state may provide by rule for a longer period of time between reports. Periodic reports must be accompanied by a fee equal to the corporation license fee under Title 23B RCW. (3) As to limited partnerships formed or registered before June 11, 1998, the secretary of state shall provide by administrative rule for a schedule under which the first reports under this section shall be due. The reports may not be due earlier than one year after June 11, 1998.
[1998 c 277 § 5.]

Limited Partnership ­ Periodic Report

Washington Secretary of State

Revised 11/08

INSTRUCTIONS ­ LIMITED PARTNERSHIP PERIODIC REPORT
Please complete all sections of the Limited Partnership Periodic Report. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.secstate.wa.gov/corps Section 1 Indicate the Limited Partnership (LP) name as it currently is recorded with the Office of the Secretary of State. Section 2 All Limited Partnerships must have a registered agent in Washington State. The registered agent may be an individual who is a resident of Washington State, or a business entity registered with the Secretary of State's office. The agent must have a physical address in Washington State where they can be located. An alternative mailing address may be used in addition to the physical address. The mailing address must also be in Washington State. The registered agent must print their name and sign the consent to serve as registered agent. Section 2 is only required when there has been a new appointment of a registered agent. Section 3 Enter the address of the Limited Partnership's principle place of business were records are maintained. Section 4 This section is for Foreign Entities only. Foreign Limited Partnerships must provide the principle office address for the state or country that the Limited Partnership was originally formed. Section 5 Section 5 requires a signature by at least one General Partner or by a person authorized by the Limited Partnership as defined in RCW 25.10.110. Additional Information: UBI Number: Please enter your existing Unified Business Identifier (UBI Number) as currently recorded with the Office of the Secretary of State, in the box in the upper right hand corner of page 1. Changes in General Partners ­ Any changes in general partners require a Limited Partnership Amendment to be filed. For amendment forms contact our office at 360-725-0377. FEES: The filing fee for Limited Partnership Periodic Report is $50.00 for a five year period. Make the checks or money orders payable to "Secretary of State". Mail completed forms and payment to: Secretary of State Corporation Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.secstate.wa.gov/corps or call 360-725-0377.

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Limited Partnership ­ Periodic Report

Washington Secretary of State

Revised 11/08