STATE OF MARYLAND CORPORATE NAME RESERVATION APPLICATION FOR RE-RESERVATION PURSUANT TO THE MARYLAND CODE TO: THE STATE DEPARTMENT OF ASSESSMENTS AND TAXATION RE: DEPARTMENT ID# V PLEASE RE-RESERVE, IF AVAILABLE, THE FOLLOWING ENTITY NAME: (List name to be re-reserved with the appropriate ending here; e.g., Inc, LLC, LLP.) FOR THE EXCLUSIVE PERIOD OF 30 DAYS PURSUANT TO THE MARYLAND CODE, THE UNDERSIGNED BEING THE PERSON INTENDING TO FORM AN ENTITY AND ADOPT THE ABOVE RE-RESERVED NAME, HEREBY EXECUTES THIS APPLICATION THIS DAY OF A.D. NAME AND ADDRESS OF APPLICANT: (If reserving for a company or firm, please list the firm or company name and have a contact person added in the address.) BY: Signature of Applicant Name: Print or Type Name NOTE: A fee of $25.00 must accompany this application. ( ) Check here for expedited service, an additional fee of $20.00 is required. American LegalNet, Inc. www.FormsWorkFlow.com