Free Application for Re-Reservation of Statutory Trust Name - Delaware

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

Ph: 302-739-3073
Fax: 302-739-3812


Application for Re-Reservation of Statutory Trust Name

Dear Sir or Madam: Enclosed please find an application for Re-Reservation of Statutory Trust Name to be filed in accordance with the Statutory Trust Act 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) 7393073. Sincerely, Department of State Division of Corporations encl. rev. 08/06

STATE OF DELAWARE
APPLICATION FOR RE-RESERVATION OF
STATUTORY TRUST
PURSUANT TO TITLE 12, SECTION 3814(e)
OF THE DELAWARE CODE

TO THE SECRETARY OF STATE OF THE STATE OF DELAWARE:
1. NAME AND ADDRESS OF APPLICANT : (must match name on original application)

2.

PURSUANT TO THE PROVISIONS OF TITLE 12, SECTION 3814(e) OF THE DELAWARE CODE, THE UNDERSIGNED HEREBY APPLIES $75.00 FOR RE-RESERVATION OF THE FOLLOWING STATUTORY TRUST NAME FOR A PERIOD OF 120 DAYS:

By:____________________________ Signature of Applicant Name:__________________________ Print or Type