Arkansas Secre t a ry of State
Charlie Daniels
State Capitol · Little Rock, Arkansas 72201-1094 501-682-3409 · www.sos.arkansas.gov
NOTICE OF TRANSFER OF RESERVED NAME
(Please type or print)
Mark entity type:
For-profit Corporation [
]
Non-profit Corporation [
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LLC [
]
The undersigned, pursuant to the laws of the State of Arkansas, hereby requests that the following reserved name be transferred for the duration of the reservation.
Reserved Name Exactly as Filed
Name of Original Applicant
Signature of Original Applicant
Name of Transferee
Street
City
(Address of Transferee) (Address of Transferee)
State
ZIP
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
Signature of Transferee
Filing Fee: $25.00
TRN/Rev. 4/06