Duplicate Name Consent {SS-9411}

Instructions: SS-9411 1 | Page Instructions: Form SS-9411 Application for Use of Indistinguishable Name (Duplicate Name Consent) Business Services Division Tre Hargett, Secretary of State State of Tennessee Submission Options An Application for Use of Indistinguishable Name form may be filed using one of the following methods: Paper submission: A blank Written Consent for Use of Indistinguishable Name form may be obtained by going to sos.tn.gov and entering SS-9411 in the search bar; by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov , or by calling 615-741-2286. The Written Consent for Use of Indistinguishable Name form should be hand printed in ink or typed. Walk-in: A blank Written Consent for Use of Indistinguishable Name may be obtained in person at the address listed below. If submitting by mail, send the completed request form and filing fee together in the same envelope. Mail to: Tennessee Secretary of State ATTN: Business Division 312 Rosa L Parks Ave FL 6 Nashville TN 37243 Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advice. Completing the Request 1. Existing Entity Name: Enter the existing entity name exactly as shown on the Tennessee Secretary of States records. To verify the exact legal name on our records visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx 2. SOS Control Number: The Secretary of State Control Number is a unique number assigned to every corporation, limited liability company and limited partnership formed or qualified in Tennessee. To find your SOS Number visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx 3. Entity Receiving Name Consent: Enter the name of the entity receiving the right to use the duplicate name. American LegalNet, Inc. www.FormsWorkFlow.com Instructions: SS-9411 2 | Page 4. Select Statement : Check the option that applies. Option 1: Both entities consent to use and maintain the same registered agent. Option 2: The existing entity consents to change its name or terminate its existence within 60 days. Signatures Entity 1 Signer (entity granting consent): The person executing the document for the entity granting consent must sign, print the date of their signature and print their name and title/capacity in the appropriate spaces. Entity 2 Signer (entity receiving consent): The person executing the document for the entity receiving name consent must sign, print the date of their signature and print their name and title/capacity in the appropriate spaces. Filing Fee The filing fee is $20.00. Make check, cashier222s check or money order payable to the Tennessee Secretary of State. Cash is only accepted for walk-in filings. Requests submitted without the proper filing fee or made payable to an entity other than the Tennessee Secretary of State will be rejected. American LegalNet, Inc. www.FormsWorkFlow.com en-USen-USLimited Liability Company Act, Tennessee Revised Liability Company Act, or the Tennessee Uniform en-USLimited Partnership Act of 2017, this consent for use of indistinguishable name is submitted to the en-USTennessee Secretary of State.en-USExisting Entity Name: en-USEntity 1en-USExisting Entity Secretary of State Control Number: en-USEntity Receiving Name Consent: en-USEntity 2 en-USSelect the statement that applies en-USOption 1:en-USBoth entities hereby consent to use and maintain the same registered agent. en-USThe existing entity consents to change its name or terminate its existence within 60 days. en-USOption 2:en-USDateen-USSignature en-USTitle/Signer222s Capacity en-USPrinted Name en-USDateen-USSignature en-USTitle/Signer222s Capacity en-USPrinted Name en-USSS-9411 (Rev.01/18)en-USRDA 1678en-USAll information on this form is public record. en-USEntity 1 signer (entity granting consent) en-USEntity 2 signer (entity receiving consent) Tre Hargett en-USSecretary of Stateen-USDivision of Business Servicesen-USDepartment of Stateen-USState of Tennesseeen-USATTN: Corporate Filingen-US312 Rosa L. Parks Ave, 6th FLen-USNashville, TN 37243-1102en-US(615) 741-2286en-USen-USSS-9411 en-USFiling Fee: $20.00 en-USAPPLICATION FOR USE OF INDISTINGUISHABLE NAMEen-US(DUPLICATE NAME CONSENT) en-USPhone #: () en-US-en-USSubmitter Name: American LegalNet, Inc. www.FormsWorkFlow.com