Applicatio For Reservation Or Renewal Of Reserved Name
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1Kentucky Secretary of State
T
G
REY
RAYSON
_______________________________________________________________________________________________________________
Division of Corporations
Application for Reservation
ARN
B
F
USINESS
ILINGS
Or Renewal of Reserved Name
P.O. Box 718
Frankfort, KY 40602
(502) 564-2848
_______________________________________________________________________________________________________________
Pursuant to the provisions of KRS Chapter 271B, 273, 275 or 362, the undersigned hereby applies to reserve or
renew a name for that purpose submits the following statement:
_____Reservation
_____Renewal
(check one)
_________________________________________________________________________________________________________
1.
Name
is the proposed name to be reserved or renewed with the Secretary of State for a period of one
hundred and twenty (120) days. The name is reserved as:
a corporate name (KRS 271B or KRS 273)
a limited liability company name (KRS 275)
a limited partnership name (KRS 362)
a limited liability partnership name (KRS 362)
2.
The name and street address of the applicant is:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_______________________________________________________
(Signature)
_______________________________________________________
(Print or Type Name)
_______________________________________________________
(Date)
Instructions:
Submit this form with one (1) exact or conformed copy. The filing fee is $15.00. Please make check payable to the
“Kentucky State Treasurer”. All information must be completed or this document will not be accepted for filing. For
information on names and availability, please visit our website at : A name may be renewed thirty
(30) days prior to expiration.
ARN (06/2007)
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