Form Llc-1.15 - Application To Reserve A Name / Transfer Of Reserved Name/ Cancellation Of Reserved Name Page 2

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NOTICE OF CANCELLATION OF RESERVED NAME
The undersigned _____________________________________________________________________ hereby voluntarily
Name of Original Applicant
cancels the right to use the name __________________________________________________________________ for LLC
purposes in Illinois. This name was reserved on _______________________________ , _______ .
Month & Day
Year
I affirm, under penalties of perjury, that the facts stated herein are true, correct and complete.
Dated ____________________________ , _____
Month & Day
Year
Signature of Original Applicant
Name and Title (type or print)
If applicant is a Company or other Entity, state Name of Company.
Printed by authority of the State of Illinois. November 2008 — 1 — LLC-16.5

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