Arkansas LLC Application For Fictitious Name Form

In Arkansas, an LLC member apply who wants to apply for a fictitious name (also referred to as the ‘business’ or ‘trade’ name) must file this form with the Secretary of State’s office. This application entails the payment of a $__.00 filing fee.Download

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APPLICATION FOR FICTITIOUS  NAME	
Select entity type: [    ] For-Profit  Corporation	($25.00 fee)	[    ] Nonprofit  Corporation	($25.00 fee)	
[    ] General  Partnership 	($15.00 fee)	[    ] Limited  Partnership 	($15.00  fee)	
[    ] LLC 	($25.00  fee)	[    ] LLP	($15.00  fee)	
[    ] LLLP	($15.00  fee)	
Pursuant  to the  provisions  of Arkansas  law, the  undersigned  entity hereby  applies  for the  use  of a fictitious
name  and submits  herewith  the following  statement:
1. The fictitious  name under  which the business  is being,  or will  be, conducted  by this  entity  is:
________________________________________________________________________\
___
2. The character  of the  business  being, or to be,  conducted  under such fictitious  name is:
________________________________________________________________________\
___
3. a) The  entity  name  of the  applicant  and its date  of qualification  in Arkansas:  ____________________
________________________________________________________________________\
___
b)  The  entity  is [     ] domestic [    ] foreign  (state of domestic  registration)  ________________
c) 	
The  location  (city and street  address)  of the  registered  office  of the  applicant  entity in Arkansas  is:	
________________________________________________________________________\
__	
Street CityStateZIPCode	
I understand  that knowingly  signing a false  document  with the intent  to file  with  the Arkansas
Secretary  of State  is a Class  C misdemeanor  and is punishable  by a fine  up to $100.00  and/or impris-
onment  up to 30  days.
Authorizing  Officer  _________________________________________________________________	
(Type  or Print)	
Authorized  Signature: ______________________________________________________________	
(Chairman,  Partner or other  authorized  person)	
Address: ________________________________________________________________________\
_	
Fee:see top of page.  Make payable  to Arkansas  Secretary  of State. DN-18/F-18/Rev. 4/06
INSTRUCTIONS: 	File with the Secretary of State's Of fice, Business Services Division, State Capitol, Little Rock,
Arkansas  72201-1094.   Acopy  will be returned  to the  entity  and must  be filed  with the County  Clerk in the  coun -
ty  in which  the entity’s  registered  office  is located  (unless registered  office  is in  Pulaski  County).
Arkansas Secretary of State
M	ark	M	artin	
Business & Commercial Services, 250 \bictory Buil\fing, 1401 W. Capitol, Little Rock	
State Capitol • Little Rock, Arkansas 722011094
5016823409 • www.sos.arkansas.gov