Registration of a Fictitious Trade Name: LLC

Limited Liability Company (LLC) Trade Name Application
Clerk of the Circuit Court - Loudoun County, VA

I hereby certify in accordance with the provisions of 59.1-69 of the Code of Virginia that I am conducting a business under the name of at

Street Address	City	State	Zip

and the nature of the business is

Post Office address: Check here if same as business address, otherwise please enter
Street Address	City	State	Zip

Is this a foreign corporation? YesNo

Name of Limited Liability Company:

Primary Contact Phone: (10 digits) Primary Contact Email:

Registered Agent Information

First Name: Last Name: Phone: (10 digits)

Address City State Zip