Form Bn-14 - Application To Reserve A Corporate Name (10-Year Reservation)

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State of North Carolina
Department of the Secretary of State
APPLICATION TO RESERVE A CORPORATE NAME
(10-Year Reservation)
Pursuant to §55-4-02(c) or §55A-4-02(c) of the General Statutes of North Carolina, the undersigned hereby applies to the Secretary
of State to reserve the following corporate name:
1.
The corporate name to be reserved is: ________________________________________________________________________
2.
The name of the applicant is: ______________________________________________________________________________
3.
The address of the applicant is:
Street Address __________________________________________________________________________________________
City, State, Zip Code _____________________________________________________________________________________
4.
The applicant has acquired the goodwill of a domestic corporation or of a foreign corporation authorized to transact business in
the State of North Carolina. (Satisfactory evidence of the acquisition of the goodwill of such corporation must be furnished
to the Secretary of State along with this Application.)
a.
The name of the corporation whose goodwill was acquired
is:__________________________________________________
b.
State of incorporation:________________________________________________________________________________
5.
The above corporate name is to be reserved for a period of 10 years 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. This document and one exact copy of this application must be filed with the Secretary of State.
2.
This form may only be used by a person that has acquired the goodwill of a domestic or foreign corporation authorized to
transact business in the State of North Carolina.
(Revised January 2000)
(Form BN-14)
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622

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