Notice Of Transfer Or Reserved Name Form - Arkansas Secretary Of State printable pdf download

Notice Of Transfer Or Reserved Name Form - Arkansas Secretary Of State

NOTICE OF TRANSFER OF RESERVED NAME

(PLEASE TYPE OR PRINT CLEARLY IN INK)

Mark entity type:

□

For Profit Corporation

Non-profit Corporation

□

Limited Liability Company

Limited Partnership/ Limited Liability Limited Partnership

The undersigned, pursuant to the laws of the State of Arkansas, hereby requests that the following reserved name be

transferred for the duration of the reservation.

Reserved name exactly as filed: __________________________________________________________________________

Name of original applicant: ______________________________________________________________________________

Transfer to: __________________________________________________________________________________________

New owner address: ___________________________________________________________________________________

City, State Zip : _______________________________________________________________________________________

I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C

misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.

Executed this ________________ day of __________________, _______________.

_________________________________________

_____________________________________________

Printed Name of Authorized Individual

Signature of Authorized Individual

$25.00 Filing Fee Payable to Arkansas Secretary of State

TRN/Rev. 8/07

Notice Of Transfer Or Reserved Name Form - Arkansas Secretary Of State