Form Ss-4226 - Application For Cancellation Of Reservation Of Limited Liability Company Name

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For Offi ce Use Only
APPLICATION FOR CANCELLATION
OF RESERVATION OF
Corporate Filings
LIMITED LIABILITY COMPANY NAME
312 Rosa L. Parks Avenue
th
6
Floor, William R. Snodgrass Tower
Nashville, TN 37243
Pursuant to the provisions of § 48-207-102(c) of the Tennessee Limited Liability Company Act or §48-249-107(c) of the
Tennessee Revised Limited Liability Company Act, the undersigned hereby submits the following application for cancellation
of reservation of name:
1. The reserved name to be cancelled is
_____________________________________________________________________________________________________
2. The name and address of the applicant or transferee is:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Zip Code
Date: ____________________________________, _______________
(if applicant/transferee is a limited liability company/partnership/ corporation)
(Name of limited liability company/ partnership/corporation)
By:
(Signature)
_______________________________________________
Name (typed or printed)
_______________________________________________
Signer’s Capacity
(if applicant/transferee is an individual)
_______________________________________________
Applicant’s/Transferee’s Signature
_______________________________________________
Applicant’s/Transferee’s Name (typed or printed)
SS-4226 (Rev. 01/06)
Filing Fee $20
RDA 2458

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