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Intake Forms

Limited Liability Company (LLC) Form



Name:

Address:

Phone:

Please list three (3) names for the Limited Liability Company (LLC) in order of preference. The office will contact the Secretary of States Office to check availability of the desired name:

The address of the office of the LLC. (This may be your home address):

The General Character of the business:

The Agent for Service of Process:

The Manager(s) of LLC:

The Member(s) of LLC:

Names and addresses of each person in addition to the above named Manager(s) authorized to execute documents filed with the corporate division and at least one person to be named if there are no mangers:

The Capital Contribution and Percentage Interest of the Members:



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