Last updated: 2/4/2019
Application To Reserve A Business Entity Name {BE-03}
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Description
BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622 (Revised July, 2017) (Form BE-03) State of North Carolina Department of the Secretary of State APPLICATION TO RESERVE A BUSINESS ENTITY NAME Pursuant to 24755D-23 of the General Statutes of North Carolina, the undersigned hereby applies to the Secretary of State to reserve the following business entity name: 1. The business entity name to be reserved is: 2. The name of the applicant is: 3. The address of the applicant is: Street Address City: State: Zip Code: 4. The above entity name is to be reserved for a nonrenewable period of 120 days from the date of the filing of this application. This the day of , 20. Entity Name Signature Type or Print Name and Title NOTES: 1. Filing fee is $30. This document must be filed with the Secretary of State. American LegalNet, Inc. www.FormsWorkFlow.com