Pursuant to Idaho Code § 30-1-402 and 53-603, the undersigned applies for reservation
of the following name for a period of four months:
(please print or type the full entity name including Inc., LLC, etc.)
Dated:
Reserved by:
Name of applicant (print or type)
Signature of applicant or, if applicant is
a corporation, of officer or agent
Capacity
Street or PO Box
City, State, Zip Code
APPLICATION FOR RESERVATION
OF LEGAL ENTITY NAME
Secretary of State use only
250
Typed Name
Please note: It is not necessary to apply for a name reservation if articles of incorporation,
organization or other business entity formation are being concurrently filed.
name_reservation.pmd Rev. 07/2010
Click here to clear form.
INSTRUCTIONS
Optional: If the document requires a correction, please list a telephone number where we can
reach you.
Note: Complete and submit the application in duplicate. It is not necessary to apply for a name
reservation if articles of incorporation, organization or other business entity formation are being
concurrently filed.
1. Enter the name of the company you would like to reserve for a 4 month period. A name
can only be reserved for the name of a corporation or limited liability company.
2. Enter the name and address of the person or company who is applying to reserve the
name.
3. The document must be signed by the applicant, or if the applicant is another legal entity, by
an officer or agent of the company. Please identify the signer by typing his/her name below
the signature and indicating in what capacity they are signing.
Enclose the appropriate fee:
The filing fee is $20.00.
If expedited service is requested, add $20.00 to the filing fee.
If the fees are to be paid from the filing party's pre-paid customer account, conspicuously
indicate the customer account number in the cover letter or transmittal document.
Pursuant to Idaho Code § 67-910(6), the Secretary of State’s Office may delete a business
entity filing from our database if payment for the filing is not completed.
Mail or deliver to:
Office of the Secretary of State
450 N 4th Street
PO Box 83720
Boise ID 83720-0080
If you have any questions or need help, call the Secretary of State's Office at (208) 334-2301.