Application For Reservation Of Name Page 2

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NOTICE OF TRANSFER
OF
Date:
RESERVED NAME
Filing Fee: $25
Approved:
The undersigned _____________________________________________________________________ hereby transfers
Name of Original Applicant
to _______________________________________________________________________________ the right to use the
Name of Transferee
name __________________________________________________________________________for corporate purposes
in Illinois. This name was reserved on ____________________________________, __________.
Month  Day
Year
The undersigned affirms, under penalties of perjury, that the facts stated herein are true and correct.
Dated _______________________________ , ______
Month Day
Year
by _________________________________________
Signature of Original Applicant
Attested by __________________________________
_________________________________________
Name (type or print)
* As the original applicant, I declare that this document has been examined by me and is to the best of my knowledge and
belief, true, correct and complete.

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