Form BUS-001 "Application for Cancellation of Reserved Name - Domestic or Foreign - All Entities" - Connecticut

What Is Form BUS-001?

This is a legal form that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the Connecticut Secretary of the State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BUS-001 by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download Form BUS-001 "Application for Cancellation of Reserved Name - Domestic or Foreign - All Entities" - Connecticut

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Secretary of the
OFFICE USE ONLY
State of Connecticut
(label)
860-509-6003
crd@ct.gov
www.concord-sots.ct.gov
PHONE:
EMAIL:
WEB
:
APPLICATION FOR
CANCELLATION OF RESERVED NAME
• Print or type.
Use ink.
DOMESTIC OR FOREIGN - ALL ENTITIES
Attach additional 8 1/2 x 11 sheets if necessary
FILING PARTY
(confirmation of filing will be sent to this address):
NAME:
FILING FEE: $60.00
ADDRESS:
Make checks payable to:
“Secretary of the State"
CITY:
STATE:
ZIP:
THE UNDERSIGNED HEREBY APPLIES TO CANCEL THE RESERVATION OF THE FOLLOWING NAME:
1. RESERVED NAME
(required) (reserved name must exactly match the reserved name on record with the Secretary of the
State, including the business designation, (e.g., Inc., LLC, etc.):
2. NAME OF THE APPLICANT
(required) (name of applicant must match the name of the party under whose name the
reservation was filed, exactly as the party’s name appears on the records of the Secretary of the State):
3. ADDRESS OF APPLICANT:
(required) (the address of applicant must be the full street address, including the number
and street name, city, state and zip code.) (A PO box may be additional information only):
ADDRESS:
CITY:
STATE
ZIP CODE:
:
4. EXECUTION / SIGNATURE
(required) (subject to penalty of false statement):
THIS
DAY OF
,
20
(day)
(year)
(month)
NAME OF APPLICANT
CAPACITY/TITLE OF APPLICANT
SIGNATURE
(print/type)
(print name and title if applicable)
Rev. 10/12020
PAGE 1 of 1
BUS-001 (APPLICATION FOR CANCELLATION OF RESERVATION OF NAME, DOM & FOR)
Secretary of the
OFFICE USE ONLY
State of Connecticut
(label)
860-509-6003
crd@ct.gov
www.concord-sots.ct.gov
PHONE:
EMAIL:
WEB
:
APPLICATION FOR
CANCELLATION OF RESERVED NAME
• Print or type.
Use ink.
DOMESTIC OR FOREIGN - ALL ENTITIES
Attach additional 8 1/2 x 11 sheets if necessary
FILING PARTY
(confirmation of filing will be sent to this address):
NAME:
FILING FEE: $60.00
ADDRESS:
Make checks payable to:
“Secretary of the State"
CITY:
STATE:
ZIP:
THE UNDERSIGNED HEREBY APPLIES TO CANCEL THE RESERVATION OF THE FOLLOWING NAME:
1. RESERVED NAME
(required) (reserved name must exactly match the reserved name on record with the Secretary of the
State, including the business designation, (e.g., Inc., LLC, etc.):
2. NAME OF THE APPLICANT
(required) (name of applicant must match the name of the party under whose name the
reservation was filed, exactly as the party’s name appears on the records of the Secretary of the State):
3. ADDRESS OF APPLICANT:
(required) (the address of applicant must be the full street address, including the number
and street name, city, state and zip code.) (A PO box may be additional information only):
ADDRESS:
CITY:
STATE
ZIP CODE:
:
4. EXECUTION / SIGNATURE
(required) (subject to penalty of false statement):
THIS
DAY OF
,
20
(day)
(year)
(month)
NAME OF APPLICANT
CAPACITY/TITLE OF APPLICANT
SIGNATURE
(print/type)
(print name and title if applicable)
Rev. 10/12020
PAGE 1 of 1
BUS-001 (APPLICATION FOR CANCELLATION OF RESERVATION OF NAME, DOM & FOR)