Connecticut LLC Reservation of Name Form
If a limited liability company in the State of Connecticut wishes to reserve a business name prior to completing the required paperwork, they have to submit the following form. This form has to be completed and submitted in order to be able to reserve that name until it is fully registered. A $60 filing fee has to be sent along with the completed form.
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APPLICATION FOR RESERVATION OF NAME FOR DOMESTIC OR FOREIGN STOCK & NONSTOCK CORP, LLC, LP, LLP & STATUTORY TRUST C.G.S. §§ 33-655; 33-656; 33-925; 33-1045; 33-1046; 33-1215; 34-13\ ; 34-13a; 34-38i; 34-102; 34-103;34-227; 34-406; 34-407; 34-506; 34-535 USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEET(S\ ) IF NECESSARY. ADDRESS: CITY: STATE: ZIP: FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS) : NAME: FILING FEE: $60 MAKE CHECKS PAYABLE TO "SECRETARY OF THE STATE" THE UNDERSIGNED HEREBY APPLIES FOR RESERVATION OF THE FOLLOWING NAME: 1. NAME TO BE RESERVED - REQUIRED: (MUST INCLUDE APPROPRIATE BUSINESS DESIGNATION I.E., L.L.C., INC, ETC.)\ 2. NAME OF THE APPLICANT - REQUIRED: ADDRESS: CITY: STATE: ZIP: 3. ADDRESS OF APPLICANT: (COMPLETE ADDRESS REQUIRED. STREET NAME, CITY, STATE & ZIP CODE.) 4. EXECUTION - REQUIRED: (SUBJECT TO PENALTY OF FALSE STATEMENT) DATED THIS DAY OF \ , 20 NAME OF APPLICANT (print/type) CAPACITY/TITLE OF APPLICANT (print name and title if applicable) SIGNATURE THE RESERVATION WILL BE EFFECTIVE FOR A PERIOD OF 120 DAYS FROM FILE DAT\ E. FILE DATE IS DAY ONE. AT THE END OF THE 12OTH DAY, THE NAME RESERVATION EXPIRES PAGE 1 OF 1 FORM CNR-1-1.0 Rev. 11/2012 SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. \ BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 T\ RINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov APPLICATION FOR RESERVATION OF NAME For Domestic or Foreign Stock & Non-Stock Corp, LLC, LP, LLP & Statutory\ Trust C.G.S. §§ 33-655; 33-656; 33-925; 33-1045; 33-1046; 33-1215; 34-13\ ; 34-13a;34-38i;34-102; 34-103;34-227; 34-406; 34-407; 34-506; 34-535 FILING FEE: $60.00 Make checks payable to “Secretary of the State” INSTRUCTIONS 1. NAME: Please provide the name which you intend to reserve. You may re\ serve for exclusive use the name of one of the following types of business organizations or entities: A corporation\ (stock & non-stock), limited liability company, limited partnership, limited liability partnership or statutory trust. T\ he name which you reserve must contain the appropriate statutory designation which denotes the type of entity or or\ ganization for which the name is intended to be used. Choose a statutory designation from the selection below according \ to organization type and include it within the name as it appears in block 1 on the form. CORPORATE DESIGNATIONS The name of a corporation must contain one of the following designations\ : corporation, incorporated, company, Societa per Azioni, limited or the abbreviations corp., inc., co., S.p.A. or ltd\ . LIMITED LIABILITY COMPANY DESIGNATIONS The name of a limited liability company must contain one of the followin\ g designations: Limited Liability Company, L.L.C., LLC, Limited Liability Co., Ltd. Liability Company or Ltd. Liability Co.\ LIMITED PARTNERSHIP DESIGNATIONS The name of a Limited Partnership must contain, without abbreviation; th\ e words limited partnership. LIMITED LIABILITY PARTNERSHIP DESIGNATIONS The name of a limited liability partnership must contain one of the foll\ owing designations: Registered Limited Liability Partnership, Limited Liability Partnership, L.L.P., or LLP as its last w\ ords or letters. STATUTORY TRUST DESIGNATION The name of a statutory trust must contain one of the following designat\ ions: Statutory Trust, Limited Liability Trust, Limited, LLT, L.L.T., or Ltd. 2. NAME OF APPLICANT: Please print or type the name of the applicant. 3. ADDRESS OF APPLICANT: Please provide the street address of the applic\ ant including street number, street name, city, state and postal code. 4. EXECUTION: Please print or type the complete legal name of the signat\ ory, title (if signing on behalf of an entity) and signature. Note that the execution constitutes a statement made under th\ e penalties of false statement that the information provided in the document is true. OFFICE OF THE SECRETARY OF THE STATE MAILING ADDRESS: COMMERCIAL RECORDING DIVISION CONNECTICUT SECRETARY OF THE STATE P.O. BOX 150470 HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION CONNECTICUT SECRETARY OF THE STATE 30 TRINITY STREET HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov INSTRUCTIONS FORM CNR-1-1.0 Rev. 11/2012 DO NOT SCAN THIS PAGE
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