To form a Limited Liability Company you need to submit this form to the Secretary of State, Corporation Department of Washington. The forms need to be completely filled along with a filing fee of $180. If you need to expedite the service an additional fee of $50 should be included. The checks or money order must be payable to “Secretary of State”. Also note that all fees are non-refundable so when filing make sure you have all the required documents and fill in the form carefully without making any mistakes.
The complete Certification of Formation – Washington LLC form is divided into 7 sections namely Articles 1 to 7.
Text Version of this form
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See attached detailed instructions□ Filing Fee $180.00
□ Filing Fee with Expedited Service $230.00
UBI Number:CERTIFICATE OF FORMATION
Chapter 25.15 RCWARTICLE 1
NAME OF LIMITED LIABILITY COMPANY:
____________________________________________________________________________
(Must contain one of the following designations: Limited Liability Company, Limited Liability Co or one of these
abbreviations: L.L.C. or LLC. If the designation is omitted, it will default to LLC when processed)ARTICLE 2
ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS:
Street Address ______________________________ City___ __________ State ____Zip__________
PO Box ____________________________________ City___ __________State ____Zip__________
ARTICLE 3
EFFECTIVE DATE OF FORMATION: (Please check one of the following)
□ Upon filing by the Secretary of State
□ Specific Date: __________________ (Specified effective date must be within 90 days AFTER the Certificate
of Formation has been filed by the Office of the Secretary of State)ARTICLE 4
TENURE: (Please check one of the following and indicate the date if applicable)
□ Perpetual existence
□ Specific term of existence _______________ (Number of years or date of termination)
Washington LLC – Formation Washington Secretary of State Revised 11/11Page 2 of 2
ARTICLE 5THE LIMITED LIABILITY COMPANY IS MANAGED BY: □ Members or □ Managers
(see instructions)ARTICLE 6
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: ____________________________________________________________________________
Physical Location Address (required):
______________________________________________________________
City __________________________________________ State WA Zip Code _____________
Mailing or Postal Address (optional):
_______________________________________________________________
City __________________________________________ State Zip Code _____________
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability
Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited
Liability Company; to forward mail to the Limited Liability Company; and to immediately notify the Office of the
Secretary of State if I resign or change the Registered Office Address.X___________________________________________________________________________
Signature of Registered Agent Printed Name DateARTICLE 7
NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR:
(If necessary, attach additional names, addresses and signatures)Name: __________________________________________________________________________________
Address: _______________________________City ___________________State _Zip Code_______
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X_______________________________________________________________________________________
Signature of Executor Printed Name Date PhoneName: __________________________________________________________________________________
Address: _______________________________City ___________________State _Zip Code_______
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X_______________________________________________________________________________________
Signature of Executor Printed Name Date PhoneWashington LLC – Formation Washington Secretary of State Revised 11/11
INSTRUCTIONS – CERTIFICATE OF FORMATION
Please complete all sections of the Certificate of Formation. USE DARK INK ONLY. For an electronic, fillable
version of this form, please visit our website at www.sos.wa.gov/corpsArticle 1:
Enter the name of the Limited Liability Company (LLC). In accordance with RCW 25.15.010 a LLC name must contain the
words Limited Liability Company, the words Limited Liability Co., or the abbreviation L.L.C. or LLC. A Limited Liability
Company name must be distinguishable upon the records of the Secretary of State from any other formally organized
entity registered with the Secretary of State’s office, such as corporations, limited liability companies, limited partnerships,
and limited liability partnerships. It is advised that you contact the Secretary of State to check for name availability before
filing. If the designation is omitted, it will default to LLC when processed.Article 2 :
Enter the address of the Limited Liability Company’s principle place of business.Article 3 :
Choose either upon filing by the Secretary of State or you may indicate an effective date. The effective date can be up to
90 days AFTER filing of the Certificate of Formation by the Office of the Secretary of State.Article 4:
Perpetual (i.e. ongoing until dissolved) or list a specific date or a specific number of years.Article 5:
Indicate how the Limited Liability Company is managed:
“Manager” or “managers” means, with respect to a limited liability company that has set forth in its certificate of formation
that it is to be managed by managers, the person, or persons designated in accordance with RCW 25.15.150(2).
“Member” means a person who has been admitted to a limited liability company as a member as provided in RCW
25.15.115 and who has not been dissociated from the limited liability company.Article 6:
All Limited Liability Companies must have a registered agent in Washington State. The registered agent may be an
individual or a business entity who is a resident of Washington State. 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 registered agent must print their name and sign the consent to serve as registered agent.Article 7:
The Executor is the person(s) forming the Limited Liability Company. Please list the full name and address of each
Executor. All Executors must sign the Certificate of Formation.Additional Information:
You may attach any optional provisions to this certificate (please do not attach operating agreements or minutes, these
items are not filed with this office).FEES: The filing fee for the Certificate of Formation is $180.00 If expedited service is requested then include an
additional $50.00 and write “EXPEDITE” on the outside of the envelope. Make the checks or money orders payable to
“Secretary of State”. (ALL fees are non-refundable)Mail completed forms and payment to:
Secretary of State
Corporation Division
801 Capitol Way S
PO Box 40234
Olympia WA 98504-0234If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division
website at www.sos.wa.gov/corps or call 360-725-0377.Washington LLC – Formation Washington Secretary of State Revised 11/11
Certificate of Formation – Washington Limited Liability Company