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Massachusetts Application of Reservation of Name Form

In the case of a business entity wanting to reserve a name for itself before filing the necessary documents in the State of Massachusetts, the Massachusetts Application of Reservation of Name Form has to be completed and submitted.

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FORM MUST BE TYPED	FORM MUST BE TYPED	
The Commonwealth of Massachusetts	
William Francis Galvin	
Secretary of the Commonwealth	
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512	
c156ds402950c11318 	10/14/08	
Application of Reservation of Name	
(General Laws, Chapter 156D, Section 4.02; 950 CMR 113.18)	
Filing Fee: $30.00	
(1)	 Name of applicant:	 ________________________________________________________________________\
_________	
(2)	 Address of applicant:	 ________________________________________________________________________\
________	
(3)	 Name to be reserved:	 ________________________________________________________________________\
________	
Applicant Contact Information:
Telephone:	 ________________________________________________________________________\
___________________	
Email:	 ________________________________________________________________________\
______________________	
Check # :	 ________________________________________________________________________\
____________________	
THIS FORM MAY NOT BE SUBMITTED BY FAX. PLEASE SUBMIT IN PERSON OR BY MAIL.
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