Free Application for Change of Assumed Corporate Name - Tennessee

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Corporate Filings 312 Eighth Avenue North 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

APPLICATION FOR CHANGE OF ASSUMED CORPORATE NAME

Pursuant to the provisions of Section 48-14-l01(e) of the Tennessee Business Corporation Act or Section 48-54-101(e) of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this application:

1. The true name of the corporation is . 2. The state or country of incorporation is 3. The corporation intends to cease transacting business under an assumed corporate name by changing it. 4. The corporation is for profit. The corporation is nonprofit. [NOTE: Please strike the sentence which does not apply to this corporation.] 5. The assumed corporate name to be changed from is . 6. The assumed corporate name which the corporation proposes to use is . [NOTE: The assumed corporate name must meet the requirements of Section 48-14-101 of the Tennessee Business Corporation Act or Section 48-54-101 of the Tennessee Nonprofit Corporation Act.] .

Signature Date

Name of Corporation

Signer's Capacity

Signature

Name (typed or printed)
SS-4403 (Rev. 6/00) RDA 1678