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Application for Renewal of Registration of Corporate Name (Tennessee)

This is an application to renew registration of a corporation name in Tennessee. The form provided here is simply a sample of what the actual Form SS 4430 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 Section 48-14-103(d) of the Tennessee Business Corporation Act or Section 48-54-103(d) of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby applies for renewal of the registration of its corporate name or assumed corporate name to and including December 31, and submits the following statement:

1. The name of the corporation 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 corporate names that are not available under Section 48-14-101(b) of the Tennessee Business Corporation Act or Section 48-54-10l(b) of the Tennessee Nonprofit Corporation Act.]

2. The state or country of incorporation is


3. The date of incorporation is (must be month, day and year). _______________________

4. The nature of the business of the corporation 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 corporate records in the state or country under whose law it is incorporated. 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 Corporation _______________________

Signer's Capacity _______________________

Signature _______________________

Name _______________________ (typed or printed)

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