NY Reservation of Name Form - Filenow

12Personal Info

Personal Information
Provide basic information about the person making this filing or the responsible party we may contact in case additional information is required.
Name*
First Last
Contact Information
All important documents will be sent to the following email or shipped to the address below.
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Reservation of Name
Provide information about the company this name is being reserved for.
State*
Entity*
Company Name*
Is this an existing company?*
- Yes
- No
Company Information
Provide some additional information about the company.
State of Formation*
Date of Formation*
MM slash DD slash YYYY
Copy Personal Info
- Copy my personal information
Company Address
Street Address Address Line 2 City State ZIP Code

(*) All fields are required.