Telephone: 877.767.3453   
                                   OhioSoS.gov  |  business@OhioSoS.gov 
                                   File online or for more information: OhioBusinessCentral.gov

                                   Filing Form Cover Letter

Please return the approval certificate to:

Name (Individual or Business Name):

To the Attention of (if necessary):

Address:

City:

State                                                                    ZIP Code:

Phone Number:                             E-mail Address:

         Check here if you would like to receive important notices via email from the Ohio Secretary of State's office regarding 
         Business Services.

         Check here if you would like to be signed up for our Filing Notification System for the business entity being created or 
         updated by filing this form. This is a free service provided to notify you via email when any document is filed on your 
         business record.

Please make checks or money orders payable to: "Ohio Secretary of State" 
Type of Service Being Requested:  (PLEASE CHECK ONE BOX BELOW)

Regular Service: Only the filing fee listed on page one of the form is required and the filing will be 
processed in approximately 3-7 business days.  The processing time may vary based on the volume of 
filings received by our office.

Expedite Service 1:  By including an Expedite fee of $100.00, in addition to the regular filing fee on page 
one of the form, the filing will be processed within 2 business days after it is received by our office. 

Expedite Service 2:  By including an Expedite fee of $200.00, in addition to the regular filing fee on page 
one of the form, the filing will be processed within 1 business day after it is received by our office. This 
service is only available to walk-in customers who hand deliver the document to the Client Service Center.

Expedite Service 3:  By including an Expedite fee of $300.00, in addition to the regular filing fee on page 
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00 
p.m.  This service is only available to walk-in customers who hand deliver the document to the Client Service Center.

Preclearance Filing:  A filing form, to be submitted at a later date for processing, may be submitted to be 
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The 
Preclearance will be complete within 1-2 business days.

Form 617                                  Page 1 of 6                             Last Revised: 01/2022

Form 617 Prescribed by:
                                                                                      Mail this form to one of the following: 
                         Toll Free: 877.767.3453 
                                                                                      Regular Filing (non expedite) 
                         Central Ohio: 614.466.3910                                   P.O. Box 670 
                                                                                      Columbus, OH  43216 
                         OhioSoS.gov 
                                                                                      Expedite Filing (Two business day processing time. 
                         business@OhioSoS.gov                                                                   Requires an additional $100.00) 
                                                                                      P.O. Box 1390 
                         File online or for more information: OhioBusinessCentral.gov Columbus, OH  43216
For screen readers, follow instructions located at this path.

          Registration of a Foreign Limited Liability Company 
                       For a Foreign (Non-Ohio) Limited Liability Company 
                                                             Filing Fee: $99 
                                                             Form Must Be Typed 
                                                             106-LFA

Name of Limited Liability Company in its jurisdiction of formation

Assumed Name, if the name above does not comply with section 1706.07 of the Revised Code

         (Name must include one of the following words or abbreviations: "limited liability company", “limited”, "LLC", "L.L.C.", "ltd.", or "ltd".)

Jurisdiction of formation

The foreign limited liability company is a foreign limited liability company.

Optional: Effective Date (MM/DD/YYYY)                                           Effective Time  

Pursuant to Ohio Revised Code Section 1706.172(D), a registration of a foreign limited liability company delivered to the Ohio 
Secretary of State for filing under this chapter may specify an effective time and a delayed effective date of not more than ninety 
days following the date of receipt by the Secretary of State.  A registration of a foreign limited liability is effective as provided in 
Ohio Revised Code Section 1706.172(D).  

If applicable, attach information required in section 1706.511(C) if the foreign limited liability company establishes or 
provides for the establishment of one or more series of assets.

Form 617                                                     Page 2 of 6                                        Last Revised: 01/2022

                         Original Appointment of Statutory Agent

The undersigned authorized member(s), manager(s) or representative(s) of 

                                            (Name of Limited Liability Company)

hereby appoint the following to be Statutory Agent upon whom any process, notice or demand required or permitted by 
statute to be served upon the corporation may be served. The complete address of the agent is:

(Name of Statutory Agent)

(Mailing Address)

                                                                               Ohio
(Mailing City)                                                                 (Mailing State)            (Mailing ZIP Code)

                                            Acceptance of Appointment

The Undersigned,                                                                                          , named herein as the
                   (Name of Statutory Agent)

Statutory agent for
                   (Name of Limited Liability Company)

hereby acknowledges and accepts the appointment of statutory agent for said limited liability company.

Statutory Agent Signature

                         (Individual Agent's Signature / Signature on Behalf of Business Serving as Agent)

Form 617                                              Page 3 of 6                                         Last Revised: 01/2022

By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she 
has the requisite authority to execute this document.

Required    
  
This filing must be signed by at     Signature
least one person authorized by 
the limited liability company. 

If the person is an individual, then By (if applicable)
he or she must sign on the 
“signature” line and print his or 
her name in the “Print Name” 
Box.  
                                     Print Name
If the person is a business entity, 
please print the name of the 
entity in the “Signature” box and 
an authorized representative of 
the business must sign in the “By” 
                                     Signature
box and print his or her name and 
title or authority in the “Print 
Name Box.” 
                                     By (if applicable)

                                     Print Name

                                     Signature

                                     By (if applicable)

                                     Print Name

Form 617                                       Page 4 of 6 Last Revised: 01/2022

                          Instructions for Registration of a  
                         Foreign Limited Liability Company

This form should be used if you wish to file a Registration of a Foreign Limited Liability Company 
pursuant to Ohio Revised Code section 1706.511. 

Name  
Provide the name of the limited liability company, as registered in its jurisdiction of formation.  If the 
name does not comply with section 1706.07 of the Revised Code, provide an assumed name 
adopted pursuant to division (A) of section 1706.513 of the Revised Code. 

Jurisdiction of Formation 
Provide the name of the jurisdiction where the limited liability company is formed.  

Effective Date and Effective Time (Optional) 
Pursuant to Ohio Revised Code Section 1706.172(D), a registration of a foreign limited liability 
company delivered to the Ohio Secretary of State for filing under this chapter may specify an 
effective time and a delayed effective date of not more than ninety days following the date of receipt 
by the Secretary of State.  A registration of a foreign limited liability is effective as provided in Ohio 
Revised Code Section 1706.172(D).  

Statutory Agent Appointment and Acceptance of Appointment 
Provide the name and address of the statutory agent.  The statutory agent must be one of the 
following: (1) A natural person who is a resident of this state; or (2) a domestic or foreign corporation, 
nonprofit corporation, limited liability company, partnership, limited partnership, limited liability 
partnership, limited partnership association, professional association, business trust or 
unincorporated nonprofit association that has a business address in Ohio. If the agent is an entity 
other than a domestic corporation, the agent shall meet the requirements of Title XVII of the Revised 
Code for an entity of the agent’s type to transact business in Ohio. A written acceptance of the 
appointment is required. 

Additional Provisions 
If a foreign limited liability company establishes or provides for the establishment of one or more 
series of assets, it shall state all of the following in the registration as a foreign limited liability 
company: (1) the fact that it provides for the establishment of one or more series of assets; (2) 
Whether the debts, liabilities, and obligations incurred, contracted for, or otherwise existing with 
respect to a particular series, if any, shall be enforceable against the assets of that series only and 
not against the assets of the foreign limited liability company generally or any other series thereof; 
and (3) whether any of the debts, liabilities, obligations, and expenses incurred, contracted for, or 
otherwise existing with respect to the foreign limited liability company generally or any other series 
thereof shall be enforceable against the assets of that series.  Please attach on a single-sided 8 ½ x 
11 sheet(s) of paper.

Form 617                           Page 5 of 6                                       Last Revised: 01/2022

Signature Required 
After completing all required information on the filing form, please make sure the form is signed by at 
least one person authorized by the limited liability company.   
If the person is an individual, then he or she must sign on the “signature” line and print his or her 
name in the “Print Name” Box.  

If the person is a business entity, please print the name of the entity in the “Signature” box and an 
authorized representative of the business must sign in the “By” box and print his or her name and title 
or authority in the “Print Name Box.”  

A typed name signifies an “intent to sign” which is acceptable. 

Note 
Our office cannot file or record a document which contains a Social Security number or tax 
identification number.  Please do not enter this information in any format on this form. 

Form 617                               Page 6 of 6              Last Revised: 01/2022