Application To Reserve A Name Form - Secretary Of State, State Of Vermont printable pdf download

Application To Reserve A Name Form - Secretary Of State, State Of Vermont

APPLICATION TO RESERVE A NAME

Vermont Secretary of State, 81 River Street Montpelier, VT 05609-1104

Phone: 802-828-2386; Fax: 802-828-2853; Web: http:

Proposed name:

(Alternate name)

Reserved by:

Reserved for:

Address of owner: City

State:

zip:

Intend to qualify a foreign corporation whose domestic state is:

Intend to qualify a foreign LLC whose domestic state is:

Intend to incorporate a Vermont domestic corporation

Intend to organize a Vermont domestic LLC

Intend to register a trade name

Intend to register a partnership

Intend to change the name of an existing registration. Its current name is:

Proposed business purpose:

A reservation is good for 120 days, renewable twice. The owner of a reserved name may transfer the reservation

to another person by delivering to the Secretary of State a signed notice of transfer that states the name and

address of the tranferee. Word endings, such as corporation, limited, company, limited liability company or any

abbreviation thereof, cannot be used when registering a trade name, however one must be used when registering

a corporation or LLC.

Signature_________________________________Title:

Date:

The filing fee is $20.00.

Please file in duplicate. This reservation will expire:__________________________________

Application To Reserve A Name Form - Secretary Of State, State Of Vermont