Application To Reserve A Name

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APPLICATION TO RESERVE A NAME
Vermont Secretary of State, 81 River Street Montpelier, VT 05609-1104
Phone: 802-828-2386
Proposed name:
(Alternate name)
Reserved by:
Reserved for:
Address of owner: City
State:
zip:
Intend to qualify a foreign corporation;
Intend to qualify a foreign limited liability company;
Intend to incorporate a Vermont domestic corporation;
Intend to organize a Vermont domestic limited liability company;
Intend to register a trade name; (name cannot include a corporate indicator)
Intend to register a partnership;
Intend to amend the name of a company already registered - the current name is:
Proposed business purpose:
A reservation is good for 120 days, renewable twice. The owner of a reserved name may transfer
the reservation to another person by delivering to the Secretary of State a signed notice of transfer
that states the name and address of the tranferee.
I understand that this reservation will expire in 120 days and the appropriate application for the
business indicated above still needs to be filed before business activities can begin.
Signature_________________________________Title:
Date:
The filing fee is $20.00.
File in duplicate with a self-addressed envelope.
This reservation will expire 120 days from registration date:______________

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