Application for Reservation
Of Limited Liability Company Name
Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Ph: 302-739-3073
Fax: 302-739-3812
Dear Sir or Madam:
Enclosed please find an application for Reservation of Limited Liability
Company to be filed in accordance with the Limited Liability Act of the State of
Delaware.
The fee to file the application is $75.00 to be accompanied with a completed application.
Please make your check payable to the “Delaware Secretary of State”. An invoice and
copy of your application will be returned for your records.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
encl.
rev. 08/06
___________________________________________________________________
___________________________________________________________________
STATE OF DELAWARE
APPLICATION FOR RESERVATION OF
LIMITED LIABILITY COMPANY NAME
PURSUANT TO TITLE 6, SECTION 18-103
OF THE DELAWARE CODE
TO THE SECRETARY OF STATE
OF THE STATE OF DELAWARE:
1. NAME AND ADDRESS OF APPLICANT: (if reserving for a company or firm,
please list that first and list the individual reserving for such as the attention person)
___________________________________________________________________.
2. PURSUANT TO THE PROVISIONS OF TITLE 6, SECTION 18-103 OF THE
DELAWARE CODE, THE UNDERSIGND HEREBY APPLIES $75.00 FOR
RESERVATION OF THE FOLLOWING LIMITED LIABILITY COMPANY
NAME FOR A PERIOD OF 120 DAYS:
By:____________________________
Signature of Applicant
Name:__________________________
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