DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY APPLICATION TO RESERVE LIMITED LIABILITY COMPANY NAME Read the Instructions
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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. APPLICATION TO RESERVE LIMITED LIABILITY COMPANY NAME
Read the Instructions
1. NAME TO BE RESERVED -see Instructions L001i
for name requirements for different entity types. Enter the exact name or exact fictitious name to be reserved:2.TYPE OF ENTITY - check only one to indicate the type of entity that may be formed:
LIMITED LIABILITY COMPANY
PROFESSIONAL LIMITED LIABILITY COMPANY
3. APPLICANT -nameand address of the individual or entity that will own the name reservati
on:Name Address 1
Address 2 (optional)
City State or Province Zip
Country SIGNATURE:
I ACCEPT
Signature Printed Name Date (mm/dd/yyyy)
REQUIRED - checkonly one:
I am the
Applicant (I am an individual or
natural person and not an entity). TheApplicant is an entity and I am its duly
authorized agent. Filing Fee: $10.00 (regular processing)All fees are nonrefundable - see Instructions. Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel
for those matters that may pertain to the individual needs of your business. All documents filed with the Arizona Corporation Commission are public record and are open for public inspection. If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
L001.005 Arizona Corporation Commission - Corporations Division Rev: 10/2020 P age 1 of 1 L001i Expedited services are available for an additional fee - see Instruct ions or Cover sheet for prices. Mail: Arizona Corporation Commission - Records Section1300 W. Washington St., Phoenix, Arizona 85007
Fax: 602-542-4100By checking the box marked "I accept" below, I acknowledge under penalty of law that
this document together with any attachments is submitted in compliance w ith Arizona law.quotesdbs_dbs20.pdfusesText_26