Application For Reservation Of Name - State Of Montana

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P
repare, sign, and submit with an original signature and filing fee.
This is the minimum information required.
STATE OF MONTANA
(This space for Secretary of State use only)
APPLICATION for RESERVATION of NAME
LINDA McCULLOCH
MAIL:
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
PHONE:
(406) 444-3665
FAX:
(406) 444-3976
WEB SITE:
sos.mt.gov
Required Filing Fee: $10.00
 24 Hour Priority Handling check box and Add $20.00
 1 Hour Expedite Handling check box and Add $100.00
Make checks payable to Secretary of State.
If the document is hand written, please print legibly or the application may be denied.
Check ONLY one box:
 Assumed Business Name
 Limited Partnership
(30-13-211,
MCA)
(35-12-506,
MCA)
 Corporation
MCA)  Limited Liability Company
(35-1-309, MCA
and
35-2-306,
(35-8-104,
MCA)
 Limited Liability Partnership
(30-10-720,
MCA)
1. The business name to be reserved: _____________________________________________________________________________
2. The date the applicant intends to commence business: ____________________________________________________________
(For Assumed Business Name reservation only.)
3. The name and business mailing address of the applicant:
Name: ____________________________________________________________________________________________________
Business Mailing Address: ____________________________________________________________________________________
City: _________________________________________________ State: ____________________ Zip Code: _________________
4. A description of the business the applicant intends to transact:
__________________________________________________________________________________________________________
5. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this
document are true.
___________________________________________________________________________ ____________________________
Signature of Applicant
Date
____________________________________________________________
___________________________________________
Printed Name
Title
6. Daytime Contact: Phone_________________________________ Email _____________________________________________
NOTE: This business name reservation does not authorize the entity to transact business in the State of Montana. A name reservation only holds the name for
future use, not current use. All Name Reservations are not renewable. The name reservation will expire either (whichever comes first): 120 days from the date of
filing OR when the entity files the necessary documents and fees to register the name and structure for active use. A person having a current reservation for a
Limited Partnership name may file a new Name Reservation for the same name after the previous reservation has been expired for at least 90 days.
(35-12-506,
MCA)
79-Reservation_of_Name
sos.mt.gov/Business/Forms
Revised: 07/2015

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