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Application For Registration Of Foreign Corporate Name Form - State Of Alabama Secretary Of State

TATE OF

LABAMA

PPLICATION FOR

EGISTRATION

OREIGN

ORPORATE

AME

O THE

ECRETARY OF

TATE OF THE

TATE OF

LABAMA

URSUANT TO THE PROVISIONS OF THE

LABAMA

USINESS

ORPORATION

THE UNDERSIGNED HEREBY APPLIES FOR THE

REGISTRATION

31, 20____

OF ITS CORPORATE NAME THROUGH

ECEMBER

AND SUBMITS THE FOLLOWING STATEMENT

1. The exact name of the Corporation (Alabama law requires the corporate name to include “Corporation,”

“Corp,” “Incorporated” or “Inc.”):

2. The Corporation is incorporated under the laws of the state of _____________________________.

3. The date of its incorporation is ______________________________________________________.

4. The business in which it is engaged is:

5. This application is accompanied by: (1) a certificate of existence executed by the official having

custody of the records pertaining to corporations; and (2) a registration fee of $ __________. *

* There is a fee of one dollar for each month, or a fraction thereof between the date of filing such

application and December 31 of the calendar year in which such application is filed, but not

less than five dollars.

I understand that the Office of the Secretary of State does not assume any responsibility for the availability

of the corporate name requested or for any duplication which may occur.

Date: ____________________________________

Type or Print Corporate Officer's Name and Title

Signature of Officer

AIL APPLICATION WITH THE APPROPRIATE FILING FEE TO

, C

, P

5616, M

, A

36103-5616

ECRETARY OF

TATE

ORPORATIONS

IVISION

OST

FFICE

ONTGOMERY

LABAMA

(334)242-5324

Rev. 4/2000

Application For Registration Of Foreign Corporate Name Form - State Of Alabama Secretary Of State

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