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Application For Reservation Or Renewal Of Reservation Of Corporate Name (Virginia)

This is an application for reservation or renewal of corporate name in Virginia. The form provided here is simply a sample of what the actual Form SCC631 looks like.

APPLICATION FOR RESERVATION OR FOR
RENEWAL OF RESERVATION OF CORPORATE NAME

The undersigned applies, pursuant to the provisions of Section 13.1-631 or Section 13.1-830 of the Code of Virginia, for (MARK APPROPRIATE BOX):

[___] reservation of the following corporate name for a period of 120 days

[___] renewal of the reservation of the following corporate name for an additional period of 120 days

CORPORATE NAME: __________________________________________

NOTE: If this name reservation is for a stock corporation (Va. Code Section 13.1-631), then the name should include a corporate designation as follows: "Corporation," "Incorporated," "Company" or "Limited" OR the abbreviation "Corp.," "Inc.," "Co." or "Ltd.".

Signature of applicant: ____________________________________

Printed name of applicant: _____________________________________

Printed address: _____________________________________________

_____________________________________________

_____________________________________________

Phone number of applicant: ___________________________________


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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SEND THIS APPLICATION ALONG WITH THE FILING FEE OF $10.00 TO THE CLERK OF THE STATE CORPORATION COMMISSION, P. O. BOX 1197, RICHMOND, VA 23218-1197. (Street address: 1300 East Main Street, Richmond, VA 23219). MAKE CHECK PAYABLE TO STATE CORPORATION COMMISSION. (804) 371-9733.


FOR SCC USE:

DCN __________________ EXP. ________________ R _________________

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