Form Cr132 - Application For Name Reservation - Oregon Secretary Of State
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1Phone: (503) 986-2200
Application for Name Reservation
Fax: (503) 378-4381
For office use only
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
Registry Number: ________________________________
Attach Additional Sheet if Necessary
Reset Form
Please Type or Print Legibly in Black Ink
1) T
U
A
R
F
N
P
120 D
.
HE
NDERSIGNED
PPLIES TO
ESERVE THE
OLLOWING
AME FOR THE
ERIOD OF
AYS
Note: Use the appropriate designation for the entity type.
Business Corporations:
Corporation, Incorporated, Limited, Company, Corp., Inc., Ltd., or Co.
Professional Corporations:
Professional Corporation, Prof. Corp., or P.C.
Cooperative Corporations:
Cooperative or Co-op (not required).
Nonprofit Corporations:
No corporate designation required.
Limited Partnerships:
Limited Partnership (without abbreviation).
Limited Liability Companies: Limited Liability Company or L.L.C.
2) A
’
N
A
3) M
A
PPLICANT
S
AME AND
DDRESS
AILING
DDRESS (If different)
4) E
XECUTION
Printed Name
Signature
Title
5) C
N
D
P
N
– I
A
C
ONTACT
AME
AYTIME
HONE
UMBER
NCLUDING
REA
ODE
FEES
Make check for $10 payable to
“Corporation Division.”
NOTE: Filing fees may be paid
with VISA or MasterCard. The
card number and expiration date
should be submitted on a separate
sheet for your protection.
CR132 (Rev. 12/99)
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