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STATE OF SOUTH CAROLINA SECRETARY OF STATE APPLICATION FOR USE OF AN INDISTINGUISHABLE NAME
TYPE OR PRINT CLEARLY IN BLACK INK

Pursuant to Sections 33-4-101 and 33-15-106 of the 1976 South Carolina Code of Laws, as amended, the undersigned hereby submits the following information in support of this application: 1. That the Secretary of State rejected the applicant's request to use the following corporate name on the grounds that it did not meet the standards in Section 33-4-101(b)of the 1976 South Carolina Code of Laws, as amended: 2. Check either "a" or "b", whichever is applicable: a. [ ] That the corporation already having the name has consented to change its name as set forth in the attached letter.* That the attached copy of the final judgement of a court of competent jurisdiction establishing the applicant's right to use the name applied for in this State.

b.

[ ]

Date: ____________________

______________________________________
Name of Applicant

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Type or Print Name

______________________________________

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Type or Print Mailing Address of the Applicant

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Telephone Number of Applicant

FILING INSTRUCTIONS 1. 2. Two copies of this form, the original and either a duplicate original or a conformed copy, must be filed. Filing Fee (payable to the Secretary of State at the time of filing this application) - $10.00 Return to: Secretary of State P.O. Box 11350 Columbia, SC 29211

*Note:

IN CONNECTION WITH PARAGRAPH 2a, Section 33-4-101(c)(1) OF THE 1976 SOUTH CAROLINA CODE OF LAWS, AS AMENDED, PROVIDES THAT THE CONTINUING CORPORATION MUST, IN ADDITION TO GIVING WRITTEN CONSENT TO A NAME CHANGE, "SUBMIT AN UNDERTAKING IN FORM SATISFACTORY TO THE SECRETARY OF STATE". SEE OFFICIAL COMMENT 4 TO SECTION 33-4-101 OF THE 1976 SOUTH CAROLINA CODE OF LAWS, AS AMENDED. ADVANCE APPROVAL OF THE UNDERTAKING SHOULD BE OBTAINED FROM THE SECRETRY OF STATE'S OFFICE BEFORE FILING THIS APPLICATION.

MISC-APP FOR INDISTINGUISHABLE NAME.doc

Form Revised by South Carolina Secretary of State, January 2000