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State of Delaware Certificate of Formation

This is a certificate of formation for a limited liability company in Delaware. The form provided here is simply a sample of what the actual form looks like.

STATE of DELAWARE
LIMITED LIABILITY COMPANY
CERTIFICATE of FORMATION

· First: The name of the limited liability company is

___________________________

· Second: The address of its registered office in the State of Delaware is

_____________________________

_____________________________

in the City of _________________________.

The name of its Registered agent at such address is

___________________________

___________________________

· Third: (Use this paragraph only if the company is to have a specific effective date of dissolution.) "The latest date on which the limited liability company is to dissolve is

_________________."

· Fourth: (Insert any other matters the members determine to include herein.)

_____________________________

In Witness Whereof, the undersigned have executed this Certificate of Formation

of _____________________________

this _____ day of ______________, 20_______.

BY: ________________________________
Authorized Person(s)

NAME: _______________________________
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