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Mississippi Corporation Name Reservation Form

In the case of a corporation wanting to reserve a name before incorporating in the State of Mississippi, the following form has to be completed and submitted along with a $25 fee.

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F0016 - Page 1 of 1 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE	
P.O. BOX 136, JACKSON, MS 39205-0136     (601) 359-1333	
*0016-1-1*	Reservation of Name	
Rev. 01/96	
1. Type of Corporation (‘X’ in one only)	
Mississippi Profit Mississippi Nonprofit Mississippi Limited Partnership
Foreign Limited Partnership Foreign Profit Foreign Nonprofit	
2. Name to reserve
3. (For Foreign Corporations and Limited Partnerships ONLY) - Name elected to use in
Mississippi
4. Applicant’s name and address
Address
City, State, ZIP5, ZIP4	-	
Signature	(Please keep writing within blocks)	
of Owner/
Applicant
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