Limited Liability Company Application For Reservation Of Name - Wyoming Secretary Of State
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1Wyoming Secretary of State
State Capitol Building, Room 110
th
200 West 24
Street
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Limited Liability Company
Application for Reservation of Name
Pursuant to W.S. 17-15-105(d), and according to the rules promulgated by the Secretary of State of Wyoming, a
person may reserve a name for a limited liability company for a one hundred twenty (120) day period, by delivering
an application to the Secretary of State for filing.
1. Name of applicant:
2. Address of applicant:
3. Proposed name to be reserved:
Date:
Signature: ___________________________________________
(mm/dd/yyyy)
(Shall be executed by a member, manager, or other authorized individual as
set forth in the operating agreement.)
Print Name:
Title:
Contact Person:
Daytime Phone Number:
Checklist
Filing Fee: $50.00 Make check or money order payable to Wyoming Secretary of State.
Please submit one originally signed document and one exact photocopy of the filing.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
LLC-NameReservation - Revised 12/11
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