Trade Name Report Form - Oklahoma Secretary Of State Page 2

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COMPLETE ONLY THE ACKNOWLEGEMENT WHICH APPLIES TO THE BUSINESS
ENTITY FILING THIS TRADE NAME REPORT.
BUSINESS ENTITY ACKNOWLEDGEMENT
I/we, being duly authorized to sign on behalf of the above named business entity, do hereby execute this
report on the
day of
,
.
_________________________________________
Signature
_________________________________________
Type or Print Name
_________________________________________
Title
CORPORATION ACKNOWLEDGMENT
I/we, being duly authorized to sign on behalf of the above named corporation, do hereby execute this
report on the
day of
,
.
____________________________________
by its
President
ATTEST:
____________________________________
by its
Secretary
(SOS FORM 0021-12/01)

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