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Application For Renewal Of Registration Of Assumed Name (Tennessee)

This is an application for renewal of registration of a limited liability company name in Tennessee. The form provided here is simply a sample of what the actual Form SS 4239 looks like.

For Office Use Only

APPLICATION FOR RENEWAL OF
REGISTRATION OF ASSUMED NAME
(LIMITED LIABILITY COMPANY)

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

Issuance Date: ______________________

Control Number: ______________________

Assumed Name: ______________________

Date of Expiration: ______________________

RE: EXPIRATION OF REGISTRATION OF ASSUMED LIMITED LIABILITY COMPANY NAME

Pursuant to the provisions of § 48-207-101(d)(4) of the Tennessee Limited Liability Company Act, it has been determined that the registration of the assumed name will expire in two (2) months.

You may renew the assumed name by completing an application for renewal of assumed Limited Liability Company name within two (2) months preceding the expiration and paying the fee as prescribed in § 48-247-103 (a)(8). Filing fee - $20.00.

Failure to file the required document within the two (2) months preceding the expiration of the registration of the assumed Limited Liability Company name will result in expiration of the assumed name.

Pursuant to the provisions of § 48-207-101(d)(4) of the Tennessee Limited Liability Company Act, the undersigned Limited Liability Company hereby submits this application for renewal:

1. The true name of the Limited Liability Company is: ______________________

2. The state or country of formation/organization is: ______________________

3. The Limited Liability Company intends to transact business in Tennessee under an assumed Limited Liability Company name.

4. The assumed name the Limited Liability Company proposes to use is:

______________________

NOTE: The assumed Limited Liability Company name must meet the requirements of Section 48-207-101 of the Tennessee Limited Liability Company Act.

Signature Date ______________________

Name of Limited Liability Company ______________________

Signer's Capacity ______________________

Signature ______________________

Name ______________________ (typed or printed)

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