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Wyoming LLC Foreign Reservation of Name Form

In order to register a name for a foreign limited liability company LLC) with Wyoming, you are required to submit the following form in addition to a fee of $50 to the State Capitol Building.

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For Office Use Only  	
 	Wyoming Secretary of State 	
  State Capitol Building, Room 110 
   200 West 24	th Street  
  Cheyenne, W Y 82002-0020 
  Ph.  307. 777.7311  
  Fax 307.777.5339  
  Email:  Business@ wyo.gov	
    	
 	
LLC -NameReservation  - Revised 12 /11        
 	
Limited Liability Company   
Application  for Reservation o f Name 	
 
Pursuant to W.S. 17- 15-105(d), and according to the rules promulgated by the Secretary of State of  Wyoming,  a 
person may reserve a name for a limited liability company for a one hundred twent y (120) day period, by delivering 
an application to the Secretary of State for filing.  
 
 
1. Name of applicant:  
 
 
 
2. Address of applicant:  
 
 
 
 
 
3. Proposed name to be reserved:   
 
 
 
Date:         Signature: ___________________________________________ 
(mm/dd /yyyy)       (Shal l be executed by  a member, manager, or other authorized individual as   
set forth in the operating agreement.)  
 
       Print Name: 
  Title: 
 
Contact Person:  
 
Daytime Phone Number:  
 
   
 
 
 
 
 
 
 
 
Checklist	 	
          Filing Fee:  $50.00    Make check or money order payable to Wyoming Secretary of State.    
          Please submit one originally signed  document and one exact photocopy of the filing.  
          Please review form prior to submitting to the Secretary of State t o ensure all areas have been 
          completed to avoid a delay in the processing of your documents.
Next: Wyoming LLC Articles of Organization Form Previous: Wyoming Notary Property Bond Form
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