Arizona LLC Cancellation Of Name Reservation Form
Should the holder of a reserved business name decide to cancel the reservation, s/he must file this form with Arizona’s SOS’ office and pay for the $__.00 filing fee.Download
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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. NOTICE OF CANCELLATION OF APPROVED LIMITED LIABILITY COMPANY NAME RESERVATION L003i 1. NAME THAT WAS RESERVED - enter the exact name: _______________________________________________________________________ \ 2. A.C.C. FILE NUMBER: ___________________________________________________________ Find the A.C.C. file number on the upper corner of filed documents OR on\ our website at: http://www.azcc.gov/Divisions/Corporations 3. OWNER – give the name and address of the owner of the reserved name – this is\ individual or entity listed as the Applicant in the Application to Reserve Limited Lia\ bility Company Name or the individual or entity to whom the name reservation was transferred (Tran\ sferee) if a Notice of Transfer was filed: Name Address 1 Address 2 (optional) City Country State or Province Zip SIGNATURE: By my signature appearing below, I am requesting cancellation of the nam\ e reservation listed in the number 1 above. I ACCEPT Signature Printed Name Date (mm/dd/yy) REQUIRED – check only one: I am the Owner (and I am an individual or natural person and not an entity). The Owner is an entity and I am its duly authorized agent. Filing Fee: $10.00 (regular processing) Expedited processing – add $35.00 to filing fee. All fees are nonrefundable - see Instructions. Mail: Arizona Corporation Commission Corporate Filings Section 1300 W. Washington St., Phoenix, Arizona 85007 Fax: 602-542-4100 Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel \ for those matters that may pertain to the individual needs of your business. All documents filed with the Arizona Corporation Commission are public record and are open for public inspection. If you have questions after reading the Instructions, please call 602-54\ 2-3026 or (within Arizona only) 800-345-5819. L003.001 Arizona Corporation Commission – Corporations Di\ vision Rev: 2010 \ \ Page 1 of 1 Read the Instructions By checking the box marked "I accept" below, I acknowledge under penalty of perjury that this document together with any attachments is submitted in compliance with Arizona law.
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