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Certificate of Formation (Tennessee)

This is a certificate of formation of a limited liability company in Tennessee. The form provided here is simply a sample of what the actual Form SS 4232 looks like.

For Office Use Only


CERTIFICATE OF FORMATION
(LIMITED LIABILITY COMPANY)

Corporate Filings
312 Eighth Avenue North
6th Floor, William R. Snodgrass Tower
Nashville, TN 37243

Pursuant to the provisions of ยง48-203-102 of the Tennessee Limited Liability Act, the undersigned hereby submits the following statement.

1. The Limited Liability Company was formed and the date of formation is:

_______________________ (month, day and year)


Signature Date _______________________

Name of Limited Liability Company _______________________

Signer's Capacity _______________________

Signature _______________________

Name (typed or printed) _______________________

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