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Get Statement in Support of Registration LLC

name of the Applicant LLC is , LLC . The state in which this LLC is lawfully organized is The effective date of the LLC is . The name of each of the members of the LLC and the type of entity of each member (i.e.: individual, corporation, partnership, etc.): Name Type of Entity U.S. Citizenship Verification Y ___ N ___ Citizen by: Birth ___ or Nationalized ___ Date of Naturalization Name Type of Entity U.S. Citizenship Verification Y ___ N ___ Citizen by: Birth ___ or Nationalized ___ Date of Na.

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