Instructions: SS-9425 1 | Page Instructions: Form SS-9425 Application for Name Reservation Business Services Division Tre Hargett, Secretary of State State of Tennessee Submission Options An Application for Name Reservation may be filed using one of the following methods: Paper submission: A blank Application for Name Reservation may be obtained by going to sos.tn.gov and entering SS-9425 in the search bar; by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov , or by calling (615)741-2286. The Application for Name Reservation should be typed or hand printed in dark blue or black ink. Walk-in: A blank Application for Name Reservation may be obtained in person at the address listed below. If submitting by mail, send the completed application and filing fee together in the same envelope. Mail to: Tennessee Secretary of State ATTN: Corporate Filing 312 Rosa L. Parks Ave FL 6 Nashville TN 37243 Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot give legal advice. Completing the Application This Application does not need to be filed with an initial filing (charter, articles of organization, registration, etc.). 1. Please check the appropriate box: Select the correct box for the statute under which you are filing the name reservation. 2. The undersigned hereby applies for reservation of the following name for a period of 120 days: Enter the name you want to reserve. The name must meet the name distinguishability requirements and any other requirements outlined in these statutes: American LegalNet, Inc. www.FormsWorkFlow.com Instructions: SS-9425 2 | Page The name of a corporation must meet the requirements of T.C.A. 247 48-14-101 (For Profit Corporation) or T.C.A. 247 48-54-101 (Nonprofit Corporation). The name of a Limited Liability Company must meet the requirements of T.C.A. 247 48-207-101 or T.C.A. 247 48-249-106. The name of a Limited Liability Partnership must meet the requirements of T.C.A. 247 61-1-1003. The name of a Limited Partnership must meet the requirements of T.C.A. 247 61-3-112 or T.C.A. 247 61-2-102. 3. Applicant name & address: Enter the name and address of the applicant. Include street address, city, state and zip code. Signature Enter the date and signature. Print or type the signature name and the signer222s capacity to sign on behalf of the company, if other than individual capacity. Failure to do any of these will result in the form being rejected. Filing Fee The filing fee is $20.00 per Application for Name Reservation. Make the check, cashier222s check or money order payable to the Tennessee Secretary of State. Cash is only accepted for walk-in filings. Requests submitted without the proper filing fee or made payable to an entity other than the Tennessee Secretary of State will be rejected. American LegalNet, Inc. www.FormsWorkFlow.com en-USSS-9425 (Rev.01/18)en-USRDA 2135en-USAll information on this form is public record.en-USAn Application for Name Reservation need en-USNOTen-US en-US en-US en-US en-USen-USAct. en-USen-US en-USen-US en-USen-US en-USen-USen-US en-USDateen-US en-US en-USPrinted Name en-USen-USen-US en-USen-USen-US Tre Hargett en-USSecretary of Stateen-USDivision of Business Servicesen-USDepartment of Stateen-USState of Tennesseeen-USATTN: Corporate Filingen-US312 Rosa L. Parks Ave, 6th FLen-USNashville, TN 37243-1102en-US(615) 741-2286en-USen-USSS-9425 en-USFiling Fee: $20.00 en-USAPPLICATION FOR NAME RESERVATIONen-USen-US-en-US American LegalNet, Inc. www.FormsWorkFlow.com