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APPLICATION FOR RESERVATION
of
LIMITED LIABILITY COMPANY NAME
Submit in Duplicate
John A. Gale, Secretary of State
Room 1301State Capitol, P.O. Box 94608
Lincoln, NE 68509
(402) 471-4079
http://www.sos.state.ne.us
The undersigned hereby requests the following name be reserved:
Name to be Reserved_________________________________________________
If the Secretary of State finds that the name applied for is available, it will be
reserved for the applicant’s exclusive use for a one-hundred-twenty-day (120)
period.
Signature
Printed Name
Street Address
City, State, Zip
FILING FEE: $15.00
1/1/2011 Neb. Rev. Stat. 21-109