Harbor Compliance - Name Reservation Order Form

Name Reservation Order Form
We would be happy to help you reserve a name for your business or nonprofit. Our service costs $100 per state.
Version of this Information Form
What name do you want to reserve?*
Which states do you want reserve a name?*

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Contact Information

Who should we contact if we have any questions about your order?
Name*

First NameLast Name
Phone Number*
Email*
Owner of the Reserved Name

The name reservation recorded with the state will list either the individual or company who owns the reserved name.
Is this name going to be reserved by a company or individual?*

CompanyIndividual
Individual Owner Information
Name*

First NameLast Name
Company Owner Details

Please tell us about the legal entity you would like us to dissolve or withdraw.
Legal Name*
The exact name of the legal entity, including punctuation.
Domicile*
The jurisdiction where the company currently has a domestic registration. This is the state of formation unless the company filed to move the domicile.
International domicile
International Domicile*
Business Structure*
The legal structure of the company, matching the secretary of state record in the company's current domicile.
Order Summary
How fast do you want us to process your name reservation?

Standard ($100 per state)Expedited (add $200 per state) - Our staff sees your order marked for faster handlingUrgent (add $400 per state) - Cut to the front of the line!
We will calculate and invoice you the applicable state filing fees.
Calculated Total
Total

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Please read and accept below:*

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Name Reservation Order Form

Contact Information

Owner of the Reserved Name

Individual Owner Information

Company Owner Details

Order Summary