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Fill and Sign the Fee Schedule Secretary of State Corporate Office Nebraska Form

Fill and Sign the Fee Schedule Secretary of State Corporate Office Nebraska Form

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________________________________________________ ____________________ ___________________________________ ___________________________________ __________________________________________ __________________________________________ APPLICATION FOR RESERVATION   of   LIMITED LIABILITY COMPANY NAME    Submit in Duplicate John A. Gale, Secretary of State   P.O. Box 94608 Lincoln, NE 68509   (402) 471-4079 www.sos. ne.gov The undersigned hereby requests th e following name be reserved: Name to be Reserved_________________________________________________ If the Secretary of State finds that the name applied for is available, it will be reserved for the applicant’s exclusiv e use for a one-hundred-twenty-day (120) period. Signature Printed Name Street Address City, State, Zip FILING FEE: $15.00 Revised 02/02/2018 Neb. Rev. Stat. 21-109

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