Corporation Or Business Name Reservation Application Form - Arkansas Department Of Community And Economic Development

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CORPORATION OR BUSINESS NAME RESERVATION APPLICATION
Provide all information. Please type or print, except for the signature.
Business name
Corporation name
Name to Reserve
Name requested:
Applicant Name and Address
Name:
Address:
City, state, postal code:
Signature
Signed:
Printed name:
Title:
Signer acknowledges that this reservation is good for 120 days only and is not renewable.
STATE USE ONLY
Date received
Check #
Dollar amount
Cash
Return form and $25.00 payment to
Card type
Dept. of Community and Economic Development
Authorization #
Corporations Section
PO Box 110808
Juneau AK 99811-0808
Reservation #
Reservation Date
Expiration Date
The application will not be accepted unless the fee is
enclosed, payable to the State of Alaska.
08-580
Revised 4/2001

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