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Application for Transfer of Reserved LLC Name (Tennessee)

This is an application for transfer of a reserved name of a limited liability company in Tennessee. The form provided here is simply a sample of what the actual Form SS 4234 looks like.

For Office Use Only


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

Pursuant to the provisions of ยง48-207-102(b) of the Tennessee Limited Liability Company Act, the undersigned owner of a reserved LLC name ("transferor") hereby submits this application:

1. The reserved name to be transferred


2. The name and address of the transferee (person to whom reserved name is to be transferred) is:

Name __________________________

Street __________________________

City __________________________

State __________________________

Zip Code __________________________

Date: __________________________, __________________________

(if transferor is a limited liability company)

__________________________ (Name of Limited Liability Company)

By: __________________________ (Signature)

Name __________________________ (typed or printed)

Signer's Capacity __________________________

(if transferor is an individual)

Transferor's Signature __________________________

Transferor's Name __________________________ (typed or printed)

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