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Revised CONSENT FOR USE OF DECEPTIVELY SIMILAR NAME John A. Gale, Secretary of State P.O. Box 94608 Lincoln, NE 68509 (402)471-4079http://www.sos.ne.gov Please file this consent with new business formation document or amendment to change business name where a name conflict exists for a trade name or an entity other than a business corporation. CONSENT FOR USE OF DECEPTIVELY SIMILAR NAME Consenting Entity: Account Number of Entity Giving Consent: Gives Consent To: To Use the Name: By signing and submitting this form to the Nebraska Secretary of State, the undersigned hereby certifies that he or she has the requisite authority to execute this document. Consent form must be signed by an authorized representative of the consenting entity. Signature Printed Name Note: For Business Corporation, submit the Application for Use of Deceptively Similar Name found at: http://www.sos.ne.gov/business/corpserv/corpform.html. American LegalNet, Inc. www.FormsWorkFlow.com