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Application for Reservation of Name (New York)

This is to reserve a limited liability company name in New York. The form provided here is simply a sample of what the actual Form DOS1133 looks like.

NYS Department of State
DIVISION OF CORPORATIONS, STATE RECORDS and UCC
41 State Street
Albany, NY 12231-0001
PLEASE TYPE OR PRINT

Application for Reservation of Name
Under ยง205 of the Limited Liability Company Law

APPLICANT'S NAME _________________________________

STREET ADDRESS _________________________________

CITY _________________________________

STATE _________________________________

ZIP _________________________________

NAME TO BE RESERVED _________________________________

RESERVATION IS INTENDED FOR (CHECK ONE)

____ New domestic limited liability company

____ Existing foreign limited liability company intending to apply for authority to do business in New York State

____ Change of name of an existing domestic or an authorized foreign limited liability company

____ A person intending to form a foreign limited liability company which will apply for authority to do business in this state

____ Existing foreign limited liability company intending to apply for authority to do business in New York State whose name is not available for use in New York State and must use a fictitious name

____ Authorized foreign limited liability company intending to change its fictitious name under which it does business in this state

____ Authorized foreign limited liability company which has changed its name in its jurisdiction, such new name not being available for use in New York State

_________________________________
Signature of applicant, applicant's attorney or agent (If attorney or agent, so specify)

_________________________________
Typed/printed name of signer

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INSTRUCTIONS FOR FILLING OUT THIS FORM
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1. Upon filing this application, the name will be reserved for 60 days and a certificate of reservation will be issued.

2. The certificate of reservation, which will be in the form of a receipt, must be returned with and attached to the articles of organization, application for authority, certificate of amendment or with a cancellation of the reservation.

3. The name used must be the same as appears in the reservation.

4. A $20 fee payable to the Department of State must accompany this application.

NOTE: In all applications for existing domestic and foreign limited liability companies, the applicant must be the limited liability company.

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