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Application for Cancellation of Reserved Name (Connecticut)

This is an application for cancellation of a reserved domestic or foreign name in Connecticut. The form provided here is simply a sample of what the actual Form SOS 002 looks like.

APPLICATION FOR CANCELLATION OF RESERVED NAME
FOR DOMESTIC OR FOREIGN
STOCK & NON-STOCK CORP, LLC, LP, LLP & STATUTORY TRUST

Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 12/l 999

Space For Office Use Only


The undersigned hereby applies for reservation of the following name:

1. NAME: ______________________

(See instructions for appropriate business/entity designation)

2. NAME OF APPLICANT: ______________________

3. ADDRESS OF APPLICANT: (Complete address required.)

Street name ______________________

City ______________________

State ______________________

Zip code ______________________

4. EXECUTION:

SIGNATURE OF APPLICANT (and title if applicable) ______________________

The reservation will be effective for a period of 120 days following filing.

Please type or print all information other than the signature.

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