RESERVATION OF BUSINESS NAME
State Form 26233 (R9 / 7-16)
Approved by State Board of Accounts, 2016
SECRETARY OF STATE
BUSINESS SERVICES DIVISION
302 West Washington Street, Room E018
Indianapolis, IN 46204
Telephone: (317) 232-6576
www.sos.in.gov
INSTRUCTIONS: 1. Use 8 ½”x11 white paper for attachments.
2. Please TYPE
or PRINT in INK.
3. Please visit our office on the web at www.sos.IN.gov
4. Submit original completed paperwork to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204.
This filing does NOT create a business entity. By filing this document, you are ONLY reserving a name for future use.
INFORMATION CONTAINED ON THIS PAGE IS NOT PART OF THE PUBLIC RECORD.
Name of business
E-mail address of business (SOS use only)
RETURN DOCUMENTS TO:
Name
Street address, line 1
Street address, line 2
City
State
ZIP code
Telephone number
( )
E-mail address (If different from above – SOS use only)
Reset Form
RESERVATION OF BUSINESS NAME
State Form 26233 (R9 / 7-16)
Approved by State Board of Accounts, 2016
For-Profit Corporations:
Indiana Code 23-1-23-2
Nonprofit Corporations:
Indiana Code 23-17-5-2
Limited Liability Companies:
Indiana Code 23-18-2-9
Limited Liability Partnerships:
Indiana Code 23-4-1-45.3
Limited Partnerships:
Indiana Code 23-16-2-2
NO FILING FEE
Proposed name to be reserved
Name of applicant
Address of applicant (number and street)
City
State
ZIP code
Signature of applicant Printed name of applicant
FOR USE BY SECRETARY OF STATE OFFICE ONLY.
The name is available and reserved for 120 days from the date stamped on this application.
The name is indistinguishable from a name on the records of the Secretary of State and is therefore unavailable.
NOTE: The owner of the reserved name may transfer the reservation to another person by delivering to the Secretary of State a signed notice of the
transfer. The notice must state the name and address of the transferee and the original approval date or have an attached copy of the original
file-marked application for reservation of a corporate name.
NOTE: The Articles of Incorporation or Organization must have attached a copy of the file marked Application for Reservation of a Corporate Name.