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Application for Registration of LLC Name (Tennessee)

This is an application for registration name of a limited liability company in Tennessee. The form provided here is simply a sample of what the actual Form SS 4237 looks like.

For Office Use Only


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

To the Secretary of State of the State of Tennessee:

Pursuant to the provisions of § 48-207-103 of the Tennessee Limited Liability Company Act, the undersigned limited liability company hereby applies for the registration of its limited liability company name or assumed limited liability company name to and including December 31, _______ and submits the following statement:

1. The name of the Limited Liability Company is:


If different, the name to be registered in the State of Tennessee is:


NOTE: The name must be distinguishable upon the records of the Secretary of State from the limited liability company names that are not available under § 48-207-101(b) of the Tennessee Limited Liability Company Act.

2. The state or country of organization is:


3. The date of organization is: __________________________ (must be month, day and year).

4. The nature of the business of the limited liability company is:


NOTE: This application must be accompanied by a certificate of existence (or document of similar import) duly authenticated by the Secretary of State or other official having custody of limited liability company records in the state or country under whose law it is organized. The certificate shall not bear a date of more than one (1) month prior to the date the application is filed in this state.

Signature Date __________________________

Name of Limited Liability Company __________________________

Signer's Capacity __________________________

Signature __________________________

Name __________________________ (typed or printed)

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