Delaware Corporation Reservation of Name Form

In the case of a corporation in the State of Delaware wanting to reserve a name before officially registering that name, the following form has to be completed and submitted. Making sure the desired name is not already reserved is essential.

Extracted Text for Proper Search

Application for Reservation of a Corporate Name 
Delaware Division of Corporations 

401 Federal Street – Suite 4 
 Dover, DE  19901 
Phone: 302-739-3073 

Fax: 302-739-3812 

Dear Sir or Madam:  Enclosed please find an application for  reservation of a Corporate Name to be 
filed in accordance with the Corpor ate Law of the State Of Delaware. 
The fee to file the applic ation is $75.00 to be accompani ed with the application.  
Please make your check payable to th e “Delaware Secretary of State”.  
Thank you for choosing Delaware as your  corporate home.  Should you require 
further assistance in this or any other matter, please don’t hesitate to call us at  (302) 739-
3073.	
Sincerely, 
Departme	

nt of State 
Division of Corporations 
Encl. 

Rev 07/06

____________________________________________________________________ 	
STATE OF DELAWARE 

CORPORATE NAME RESERVATION  

APPLICATION PURSUANT TO 
 TITLE 8, SECTION 102 

OF THE DELAWARE CODE 

TO:  THE SECRETARY OF STATE 
 OF THE STATE OF DELAWARE 	
PLEASE RESERVE, IF AVAILABLE, THE FOLLOWING CORPORATE NAME: 
FOR THE EXCLUSIVE 

PERIOD OF 120 DAYS PURSUANT TO THE PROVISIONS OF 
TITLE 8, SECTION 102 OF THE DELAWARE CODE, THE UNDERSIGNED BEING THE 
PERSON INTENDING TO FORM A CORPORATION AND ADOPT THE ABOVE 
RESERVED NAME, HEREBY EXECUTES THIS APPLICATION THIS 	
DAY OF 	______________ _________	, ________	A.D. 	
NAME AND ADDRESS OF APPLICANT: (if reserving for

 a company or firm, please list the 
firm or company name and have an attention person added to the bottom after the address) 	
BY:	_______	

__________________________ 
Signature of Applicant 	
Name:	_________	

________________________ 
Print or Type Name