LETTER OF CONSENT
Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
(605)773-4845
TO USE SIMILAR NAME
Please Type or Print Clearly in Ink
Please submit one Original and one Photocopy
NO FILING FEE
The undersigned corporate officers, general partner of a limited partnership, or holder of reserved or registered name, or
a general manager/member of a limited liability company grant consent to use a similar entity name.
1. The following entity _____________________________________________________________________________
______________________________________________________________________________________________
2. Grants consent to use of this name _________________________________________________________________
______________________________________________________________________________________________
3. Please check the appropriate option.
Business Corporation consent must be signed by the President or Vice President
and the corporate
secretary or assistant secretary.
Limited Partnership consent must be signed by a general partner.
Limited Liability Company consent must be signed by a manager or member.
Telephone # ____________________
FAX # _______________________
Application may be signed by an authorized officer. No person may execute this report knowing it is false in any material
respect. Any violation is subject to a civil penalty.
Dated ____________________________
______________________________________________
(Signature of an Authorized Officer)
______________________________________________
(Printed Name)
______________________________________________
(Title)
Dated ____________________________ ______________________________________________
(Signature of an Authorized Officer)
______________________________________________
(Printed Name)
______________________________________________
(Title)
consenttousesimilarname april 2012
