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Name Reservation
See attached detailed instructions
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Expiration Date:
See Section 2 for Filing Fee
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Registration Number:
ADD $50.00 For Expedited Service
NAME RESERVATION
Chapter 23B, 24.03, 25.10, 25.15, 25.05 RCW
SECTION 1
NAME OF ENTITY TO BE RESERVED: (List alternates in order of preference)
A.
B.
C.
SECTION 2
(Select the entity type that applies, see instructions for requirements)
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Limited Liability Company (LLC) $30
Profit Corporation $30
Non-profit Corporation $20
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Limited Partnership (LP) $30
Limited Liability Partnership (LLP) $30
SECTION 3
NAME, ADDRESS, AND SIGNATURE OF APPLICANT
Name: __________________________________________________________________________________
Address: ___________________________________________________________________________
City__________________________________ State ______ Zip Code __________
NAME AND ADDRESS OF CLIENT (if different from the applicant)
Name: __________________________________________________________________________________
Address: ___________________________________________________________________________
City__________________________________ State ______ Zip Code __________
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X __________________________________________________________________________
APPLICANT SIGNATURE
Title
Date
Phone Number
Name Reservation
Washington Secretary of State
Revised 12/13