UNRR-3 1/96 New Jersey Division of Revenue Application for Renewal of Name Reservation Pursuant to the laws of the State of New Jersey, the undersigned hereby applies to renew the name reservation for the following business name: (Business Name With Designator, i.e. Corp., Inc., LLC, LP, etc.) Applicant's Name (type): Applicant's Title: Applicant's Signature: Date: This renewed reservation will be effective for 120 days subsequent to acceptance and filing in the State Treasurer's Office, and may be renewed again, transferred or canceled. The person signing this document must have ownership of the reserved name. NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 American LegalNet, Inc. www.FormsWorkflow.com Rev 2/8/06 Instructions for Form UNRR-3 APPLICATION FOR RENEWAL OF NAME RESERVATION STATUTORY FEE: $50 The MANDATORY fields are: Name List the reserved name being renewed. Include the appropriate designator -for example, LLC, INC., etc. (must be a current, filed/active, reserved name). Applicant Name List the name of the person for whom the business name is currently reserved. This must be the person listed as the applicant or transferee on the current, filed/active name reservation. EXECUTION (Applicant's Signature/ Date) The applicant must sign and date the application. ********** These documents should be filed in duplicate. Non-profits should file in triplicate. Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please) Mail To: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 FAX File: 609.984.6851 (Fax Filing is an optional expedited service subject to processing fees that are in addition to those stated above. For FAX Filing information, visit http://www.state.nj.us/treasury/revenue/dcr/programs/ffs.html . ) American LegalNet, Inc. www.FormsWorkflow.com