Application For Reservation Of Name Limited Liability Company Form
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1APPLICATION FOR
Secretary of State Office
500 E Capitol Ave
RESERVATION OF NAME
Pierre, SD 57501
(605)773-4845
Clear Form
LIMITED LIABILITY COMPANY
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $25
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
Pursuant to the provisions of the South Dakota Law, the undersigned hereby applies for reservation of the
following name for a period of one hundred twenty (120) days, which period shall not be extended.
1. The name to be reserved is _______________________________________________________________________
______________________________________________________________________________________________
Note:
The name must contain limited liability company, limited company or the abbreviation L.L.C., LLC, L.C. or LC. Limited may be abbreviated
as Ltd. and company may be abbreviated as Co.
2. Check one to indicate how the reserved name is to be used:
Any person intending to organize a domestic limited liability company
Any domestic L.L.C. registered in this state, which intends to adopt that name
Any foreign L.L.C. intending to register in this state
Any foreign L.L.C. registered in this state, which intends to adopt that name
Dated ____________________________
______________________________________________
(Signature of the applicant)
______________________________________________
(Printed Name)
______________________________________________
(Title)
______________________________________________
(Address)
______________________________________________
(City)
(State)
(ZIP+4)
reservationofname April 2012
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