Contact Information

Please provide your contact information for our records:

First name
Last name
Middle initial
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
E-mail

Requested LLC Name

(please provide 1st & 2nd choice) This is the information that will be used in creating your Connecticut LLC.   We will complete a name search of the Business Records of the Connecticut Secretary of State.  If your requested company name is already in use, an alternative name must be provided.  All Limited Liability Company names must end with the letters "LLC."

1st Choice	LLC
2nd Choice	LLC

LLC's Business Address

In order to register as a Connecticut LLC, your LLC must have a Connecticut Address.

Street address
Address (cont.)
City
State/Province	Connecticut
Zip/Postal code

Agent for Service of Process

Please Name Agent for Service of Process and the agent's home and business addresses. If no Agent is named then the CT Secretary of State will be named as agent for service of process. 

Agent's First name
Agent's Last name
Agent's Middle initial
Home Street address
Address (cont.)
Home City
State/Province	Connecticut
Zip/Postal code
Agent's Business Address
Agent's Business City
Agent's Business State	Connecticut
Agent's Zip/Postal Code

Members of your LLC:

Please list all members of your LLC.  

Management of your LLC

Decide if your LLC shall be managed by the a single manager, or by all of the members together: