Form Be-03 - Application To Reserve A Business Entity Name
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1State of North Carolina
Department of the Secretary of State
APPLICATION TO RESERVE A BUSINESS ENTITY NAME
Pursuant to §55D-23 of the General Statutes of North Carolina, the undersigned hereby applies to the Secretary of State to reserve the
following business entity name:
1.
The business entity name to be reserved is:
_____________________________________________________________________________________________________
2.
The name of the applicant is: ______________________________________________________________________________
3.
The address of the applicant is:
Street Address __________________________________________________________________________________________
City, State, Zip Code _____________________________________________________________________________________
4.
The above entity name is to be reserved for a nonrenewable period of 120 days from the date of the filing of this application.
This the _________ day of ________________ , 20_____.
_____________________________________________
Entity Name
_____________________________________________
Signature
_____________________________________________
Type or Print Name and Title
NOTES:
1.
Filing fee is $30. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622
(Revised October 2002)
(Form BE-03)
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