Free - - Mississippi

F0111 - Page 1 of 1

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633

Mississippi LLC Application for Transfer of Name Reservation
1. Name reserved

2. Owner of reserved Limited Liability Company Name

3. Transferred to Name

Address

City, State, ZIP5, ZIP4 By: Signature of Owner/ Applicant

(Please keep writing within blocks)

Printed Name

Rev. 01/96