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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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