Free Application for Reservation of Statutory Trust Name - Delaware

Delaware Division of Corporations
401 Federal Street ­ Suite 4
Dover, DE 19901



Phone: 302-739-3073
Fax: 302-739-3812


Application for Reservation of Statutory Trust Name Dear Sir or Madam: Enclosed please find an application for reservation of a Statutory Trust Name to be filed in accordance with the General Corporation Law 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
STATUTORY TRUST NAME APPLICATION
PURSUANT TO TITLE 12, SECTION 3814
TREATMENT OF DELAWARE STATUTORY TRUSTS

TO THE SECRETARY OF STATE OF THE STATE OF DELAWARE
PLEASE RESERVE IF AVAILABLE THE FOLLOWING STATUTORY TRUST NAME:

FOR THE EXCLUSIVE PERIOD OF 120 DAY PURSUANT TO THE PROVISIONS OF TITLE 12, SECTION 3814 OF THE DELAWARE CODE, THE UNDERSIGNED BEING THE PERSON INTENDING TO FORM A STATUTORY TRUST AND ADOPT THE ABOVE RESERVED NAME, HEREBY EXECUTES THIS APPLICATION THIS _______________ DAY OF __________________________________________, __________________.

NAME AND ADDRESS OF APPLICANT:

BY:_________________________________ Signature of Applicant Name: _________________________________ Print or Type Name