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Notice of Transfer of Reserved Limited Liability Partnership Name (Tennessee)

This is a transfer of a reserved limited liability partnership name in Tennessee. The form provided here is simply a sample of what the actual Form SS 4495 looks like.

For Office Use Only

NOTICE OF TRANSFER OF RESERVED LLP NAME

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

Pursuant to the provisions of the Tennessee Uniform Partnership Act, Section 61-1-145(e), the undersigned hereby submits this application:

1. The reserved name to be transferred is:

________________________

2. The name and address of the transferee is:

Name ________________________

Street ________________________

City ________________________

State ________________________

Zip Code ________________________

Date: ________________________

Signature Date ________________________, ________________________

(if transferor is a limited liability partnership)

Name of Limited Liability Partnership ________________________

By: ________________________ (Signature)

Name ________________________ (typed or printed)

Signer's Capacity ________________________

(if transferor is an individual)

Transferor's Signature ________________________

Transferor's Name ________________________ (typed or printed)

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