Form Llc-1.15 - Application To Reserve A Name, Transfer Of Reserved Name, Cancellation Of Reserved Name - Illinois Secretary Of State - 2012 Page 2

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LLC-1.15
NOTICE OF CANCELLATION OF RESERVED NAME
c) The undersigned __________________________________________________________________ hereby voluntarily
Name of Original Applicant
cancels the right to use the name________________________________________________________________for LLC
purposes in Illinois. This name was reserved on ____________________________ , _______ .
Year
Month & Day
I affirm, under penalties of perjury, that the facts stated herein are true, correct and complete.
Dated ________________________, _______.
_____________________________________________
Month & Day
Year
Signature of Original Applicant
_____________________________________________
Name and Title (type or print)
_____________________________________________
If applicant is a Company or other Entity, state Name of Company.

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