FILING FEE: $10.00
PRINT CLEARLY
APPLICATION FOR
RESERVATION OF NAME
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O. Box 580
Okmulgee, OK 74447
(918) 549-2607
The undersigned hereby requests that the following name be reserved for a period of 60 days:
______________________________________________________________________________
(Type or Print Name to be Reserved)
This name will be used for the following: (CHECK ONE)
Corporation _________
Limited Partnership _________
Limited Liability Company _________
Other _________
______________________________________________________________________________
Signature of Applicant
______________________________________________________________________________
Print Name of Applicant
______________________________________________________________________________
Address City State Zip Code
PLEASE NOTE: If the name of the person listed on this reservation does NOT appear in the
documents
containing this reserved name, a COPY of this name reservation MUST accompany the
document.
(SOS FORM0034-10/98)
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