Application To Reserve A Name - South Carolina Secretary Of State
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1Print Form
Nonprofit Corporation – Domestic and Foreign
Filing Fee - $10.00
1. Pursuant to S.C. Code of Laws §33-31-402, the undersigned hereby applies to the Secretary of State to
reserve the following corporate name:
_______________________________________________________________________________________
for a nonrenewable period of
from the date of filing this application.
2. Name, address and signature of the applicant:
________________________________________________________________________________________
Name
________________________________________________________________________________________
Street Address
________________________________________________________________________________________
City
State
Zip Code
Date______________________
____________________________________________
Signature of Applicant
____________________________________________
Type or Print Name
■ Application to Reserve a Name (filed in duplicate)
■ $10.00 made payable to the South Carolina Secretary of State
■ Self-Addressed, Stamped Return Envelope
■ Return all documents to:
South Carolina Secretary of State’s Office
Attn: Corporate Filings
1205 Pendleton Street, Suite 525
Columbia, SC 29201
Form Approved by South Carolina
Secretary of State, May 2011
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