Free ss-4234.indd - Tennessee

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

APPLICATION FOR TRANSFER OF RESERVED LLC NAME

Pursuant to the provisions of §48-207-102(b) of the Tennessee Limited Liability Company Act or §48-249-107(b) of the Tennessee Revised Limited Liability Company Act, the undersigned owner of a reserved LLC name ("transferor") hereby submits this application: 1. The reserved name to be transferred . 2. The name and address of the transferee (person to whom reserved name is to be transferred) is:

Zip Code Date: (if transferor is a limited liability company) ,

(Name of Limited Liability Company) By: (Signature)

Name (typed or printed) Signer's Capacity (if transferor is an individual)

Transferor's Signature Transferor's Name (typed or printed)

SS-4234 (Rev. 01/06)

Filing Fee:$20

RDA 2458