APPLICATION FOR RESERVATION OF LEGAL ENTITY NAME
To the Secretary of State of Idaho, 700 W Jefferson, Basement West PO Box 83720 Boise, Idaho 83720-0080
Pursuant to Idaho Code § 30-1-402 and 53-603, the undersigned applies for reservation of the following name for a period of four months:
(please print or type)
Reserved by: Name of applicant (print or type)
Street or P.O. Box
City, State, Zip Code
Signature of applicant or, if applicant is a corporation, of officer or agent Typed Name Capacity
Secretary of State use only
[Please note: It is not necessary to apply for a name reservation if articles of incorporation, organization or other business entity formation are being concurrently filed.]
g:\corp\forms\misc forms\name reservation.pmd Revised 12/2002
This application must be accompanied by a filing fee of $20.00. The reservation will be effective for four months from the date of filing.
Optional: If the document is incorrect where can you be reached for questions? Note: Complete and submit the application in duplicate. It is not necessary to apply for a name reservation if articles of incorporation, organization or other business entity formation are being concurrently filed. 1. Enter the name of the company you would like to reserve for a 4 month period. A name can only be reserved for the name of a corporation or limited liability company. 2. Enter the name and address of the person or company who is applying to reserve the name. 3. The document must be signed by the applicant, or if the applicant is another legal entity, by an officer or agent of the company. Please identify the signer by typing his/her name below the signature and indicating in what capacity they are signing. 4. Enclose the appropriate fee: a. The filing fee is $20.00. b. If expedited service is requested, add $20.00 to the filing fee. c. If the fees are to be paid from the filing party's pre-paid customer account, conspicuously indicate the customer account number in the cover letter or transmittal document. Pursuant to Idaho Code § 67-910(6), the Secretary of State's Office may delete a business entity filing from our database if payment for the filing is not completed. 5. Mail or deliver to: Office of the Secretary of Idaho Secretary of State State 700 West Street 450 N 4th Jefferson PO Box 83720 PO Box 83720 Boise ID 83720-0080 Boise ID 83720-0080 6. If you have any questions for need help, call the Secretary of State's Office at (208) 334-2301.