Illinois > Secretary Of State > Corporation
Application For Reservation Of Name BCA-4.10 - Illinois
| Application For Reservation Of Name Form. This is a Illinois form and can be used in Corporation Secretary Of State . |
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Form BCA-4.10 (Rev. Jan. 2003) Secretary of State Department of Business Services Springfield, IL 62756 217-782-9520 www.cyberdriveillinois.com Payment must be made by check or money order payable to Secretary of State. ($25 fee for each name reserved.) Application for Reservation of Name This space for use by Secretary of State. File #: SUBMIT ONE ORIGINAL This space for use by Secretary of State. Date: Filing Fee: $ Approved: 1. Name(s) to be Reserved (for a period of 90 days each): _____________________________________________________________________________________________ Must contain the word "corporation," "company," "incorporated" or "limited," or contain an abbreviation of such words. _____________________________________________________________________________________________ _____________________________________________________________________________________________ 2. Proposed Corporate Purpose: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 3. Name of Applicant: ______________________________________________________________________________ 4. Address of Applicant: ____________________________________________________________________________ _____________________________________________________________________________________________ 5. Dated _______________________________ , _____ Month & Day Year ______________________________________________ Signature of Applicant ______________________________________________ Name (type or print) NOTE: · If the applicant is an individual, this application must be signed by the applicant. · If the applicant is a corporation, this application must be signed by a duly authorized officer of the corporation. · Upon filing of this document, name(s) will be reserved for a period of 90 days. Printed by authority of the State of Illinois. April 2006 -- 5M -- C 156.8 American LegalNet, Inc. www.USCourtForms.com NOTICE OF TRANSFER OF RESERVED NAME Date: 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. Printed by authority of the State of Illinois. April 2006 -- 5M -- C 156.8 American LegalNet, Inc. www.USCourtForms.com
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