Application For Reservation Of Limited Liability Company Name - Delaware Division Of Corporations - 2006 Page 2

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STATE OF DELAWARE
APPLICATION FOR RESERVATION OF
LIMITED LIABILITY COMPANY NAME
PURSUANT TO TITLE 6, SECTION 18-103
OF THE DELAWARE CODE
TO THE SECRETARY OF STATE
OF THE STATE OF DELAWARE:
1.
NAME AND ADDRESS OF APPLICANT: (if reserving for a company or firm,
please list that first and list the individual reserving for such as the attention person)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________.
2.
PURSUANT TO THE PROVISIONS OF TITLE 6, SECTION 18-103 OF THE
DELAWARE CODE, THE UNDERSIGND HEREBY APPLIES $75.00 FOR
RESERVATION OF THE FOLLOWING LIMITED LIABILITY COMPANY
NAME FOR A PERIOD OF 120 DAYS:
By:____________________________
Signature of Applicant
Name:__________________________
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