State of Vermont

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Office of the Secretary of State

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The form below can be printed out by hitting "Print" on your web browser. Web pages tend to print out in a long format; therefore, a more compact version of this form can be saved and printed out in the following standard word processor formats:
• fcregist.doc -- DOC -- Microsoft Windows, Word, WordPad format
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• fcregist.rtf -- RTF -- Rich Text Format
• fcregist.txt -- TXT -- simple text format

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APPLICATION TO REGISTER A CORPORATE OR LLC NAME
(foreign corporations, profit and non-profit, and Limited Liability Company)

Name of the Corporation (or) the Limited Liability Company:

__________________________________________________________________

If the name applied for is the same as a corporation that is already incorporated or authorized to transact business in this state and is not distinguishable upon the records from that name, a written form indicating the other corporations consent and a change of name must be attached.

A foreign corporation or LLC may register the name (including the trade name) of another domestic or foreign corporation or LLC if the other corporation or LLC is incorporated or authorized to transact business in this state and the foreign corporation or LLC and the applicant has merged with the other corporation or company; has been formed by reorganization of the other corporation or company; or has acquired all or substantially all of the assets, including the name, of the other corporation or company.

State (or country) of incorporation/organization____________________________

Date of its incorporation or LLC organizational date________________________

A brief description of nature of business__________________________________

___________________________________________________________________

Signature___________________________ Title______________ Date_________

DO NOT WRITE BELOW THIS LINE

• REGISTRATION IS VALID WHEN STAMPED BY SECRETARY OF STATE BELOW
  
  
  
  
  

A corporation or LLC whose registration is effective may qualify as a foreign corporation or company under the registered name or consent in writing to the use of that name by another corporation or LLC. The registration terminates upon qualification or organization.