Form L-03 - Application To Reserve A Limited Liability Company Name

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State of North Carolina
Department of the Secretary of State
APPLICATION TO RESERVE A LIMITED LIABILITY COMPANY NAME
Pursuant to §57C-2-31 of the General Statutes of North Carolina, the undersigned hereby applies to the
Secretary of State to reserve the following limited liability company name:
1. The limited liability company name to be reserved is:________________________________________
2. The name of the applicant is:___________________________________________________________
3. The address of the applicant is:
Address____________________________________________________________________________
City, State, Zip Code_________________________________________________________________
4. The above limited liability company 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____
____________________________________
____________________________________
Signature
____________________________________
Type or Print Name and Title
NOTES:
1.
Filing fee is $10. The executed application and one exact or conformed copy of this application must be filed with
the Secretary of State.
(Revised January 2000)
(Form L-03)
CORPORATIONS DIVISION
P.O. BOX 29622
RALEIGH, NC 27626-0622

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