[PDF] [PDF] Application to Reserve LLC Name - APPLICATION FOR

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). The

Applicant 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 602-54

2-3026 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 Section

1300 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