Notice Of Transfer Of Reserved Name Form - Secretary Of State, State Of Kentucky
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1COMMONWEALTH OF KENTUCKY
TREY GRAYSON
SECRETARY OF STATE
NOTICE OF TRANSFER OF RESERVED NAME
Pursuant to the provisions of KRS Chapter 271B, 273, 275 or 362, the undersigned hereby transfers a
reserved name and for that purpose submits the following statements:
1. ____________________________________________________________________________________
is the name reserved with the Secretary of State by
___________________________________________________________________________________.
(Applicant’s name)
2. The name as reserved is hereby transferred to
______________________________________________________________________________
(Type or print transferee’s name)
______________________________________________________________________________
(Type or print transferee’s address)
______________________________________________________________________________
City
State
Zip Code
3. The date of filing of the original application to reserve the name was _______________________________.
____________________________________________
____________________________________________
Signature
____________________________________________
Print or type name and title, if applicable
Date: _____________________________, 20_______
SSC-106 (2/98)
(See attached sheet for instructions)
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