Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Corporations Division
State Capitol Bldg.
Tel. (304) 558-8000 Fax (304) 558-8381
1900 Kanawha Blvd. East
Hrs. 8:30am – 5:00pm
Charleston, WV 25305
APPLICATION TO
File one original application
REGISTER A COMPANY NAME
along with a good standing
certificate or certificate of
of existence from your
FILING FEE:
$25
incorporation state
for New Registration*
$10 for Renewal of Name Registration
___________________________________________________________________________________
1.
The entity applying for name registration in West Virginia is registered in its home state as a:
Corporation
Limited Partnership
Limited Liability Company
Business Trust
Voluntary Association
Limited Liability Partnership
2.
The current application is for:
New name registration
Renewal of name registration
3.
Name to be registered: _____________________________________________
4.
Address of company:
Street
City/State/Zip
5.
Incorporation State: __________________
Date of Company Formation:
6.
The entity is engaged in the business activity of:
7.
The name and address of the applicant (person or company) is:
Name
Address
City/State/Zip
8.
Signature of applicant:
.
A CERTIFICATE OF GOOD STANDING OR CERTIFICATE
OF EXISTENCE FROM THE STATE IN WHICH YOU ARE
ORGANIZED IS REQUIRED
TO THE APPLICANT:
The Name is registered for the applicant from the date of this filing until December 31, _____. To
continue
protection for an additional year, renew the registration before that date. (Renewal period
is between Oct.1-Dec.31)
The name cannot be registered because it is not distinguishable from a name currently being used. The
registration fee will be returned or refunded to the applicant.
Date Filed: ________________________Approved/Filed By: ____________________________________
Business Organization Assistant
Form NR-2
Issued by the WV Secretary of State, State Capitol, Charleston, WV 25305
Revised 1/09
PRINT THIS COPY, THEN CLICK HERE TO RESET.