Application For Transfer Of A Corporate Name - Delaware Division Of Corporations Page 2

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STATE OF DELAWARE
CORPORATE NAME RESERVATION
APPLICATION FOR TRANSFER
PURSUANT TO TITLE 8, SECTION 102
OF THE DELAWARE CODE
TO: THE SECRETARY OF STATE
OF THE STATE OF DELAWARE
PLEASE TRANSFER THE FOLLOWING CORPORATE NAME:
____________________________________________________________________
(list name to be transfered here)
THE NAME OF THE ORIGINAL APPLICANT OF THE NAME RESERVATION IS:
______________________________________________________________________
FOR THE EXCLUSIVE PERIOD OF 120 DAYS PURSUANT TO THE PROVISIONS OF
TITLE 8, SECTION 102 OF THE DELAWARE CODE, THE UNDERSIGNED BEING THE
PERSON INTENDING TO FORM A CORPORATION AND ADOPT THE ABOVE
TRANSFERED NAME, HEREBY EXECUTES THIS APPLICATION THIS ______________
DAY OF _______________________, ________A.D.
NAME AND ADDRESS OF APPLICANT TO WHOM THE NAME IS BEING
TRANSFERED TO: (if transferring the reservation for a company or firm, please list the firm or
company name and have an attention person added to the bottom after the address)
BY: _________________________________
Signature of Applicant
Name: _________________________________
Print or Type Name

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