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APPLICATION FOR RESERVATION OF NAME

Oklahoma Secretary of State, 2300 N. Lincoln Blvd., Room 101, State Capitol Building, Oklahoma City, OK 73105-4897 Telephone (405)-521-3912

The undersigned hereby requests that the following name be reserved for a period of 60 days:

(Type or Print Name to be Reserved)

This name will be used for the following: (CHECK ONE) Corporation Limited Partnership Limited Liability Company Other

Signature of Applicant

Print Name of Applicant

Address

City

State

Zip Code

PLEASE NOTE: If the name of the person listed on this reservation does NOT appear in the documents containing this reserved name, a COPY of this name reservation MUST accompany the document.
(SOS FORM0034-10/98)