Renewal Of Assumed Business Name Application 30-13-207, Mca - Secretary Of State printable pdf download

Prepare, sign, and submit with an original signature and filing fee.

STATE OF MONTANA

This is the minimum information required.

)

(This space for use by the Secretary of State only

RENEWAL of

ASSUMED BUSINESS NAME

APPLICATION

30-13-207, MCA

LINDA McCULLOCH

MAIL:

Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

PHONE:

(406) 444-3665

FAX:

(406) 444-3976

WEB SITE:

sos.mt.gov

Required Filing fee: $20.00

 24 Hour Priority Handling check box & Add $20.00

 1 Hour Expedite Handling check box & Add $100.00

The Assumed Business Name is:

_____________________________________________________________________________________

NOTE: Must be identical to the business name as currently registered with the Montana Secretary of State’s office.

The description of the business transacted under the Assumed Business Name

_____________________________________________________________________________________

The name and business mailing address of all applicants. The names must correspond with the names currently

registered with the Montana Secretary of State’s office or you will also need to file an

Assumed Business Name

Amendment. For additional names and business mailing addresses attach a separate sheet of paper.



If the ABN is owned by an individual or husband & wife (as an individual), you will need to list their names &

business mailing addresses.



If the ABN is an association or general partnership, you will need to list the names and business mailing addresses

of all members of the association or all partners of the partnership.



If the ABN is owned by another business entity, you will need to list the name and business mailing addresses of

the business entity.

_____________________________________________________________________________________

The mailing address of the Assumed Business Name is

(Only complete if different from the business mailing address(es) noted above.)

: __________________________________________________________________

Business Mailing Address

: ___________________________________________________

: ________

:__________

City

State

Zip Code

I, HEREBY SWEAR AND AFFIRM, under penalty of law, that the facts contained in this document are true.

___________________________________________________________

________________________

Signature of Applicant (all Partnerships & LLPs must have at least 2 signatures)

Date

Daytime Contact: Phone: ____________________________ Email: ______________________________________

sos.mt.gov/Business/Forms

01B-Assumed_Business_Name_Renewal.doc

Revised: 6/18/2013

Renewal Of Assumed Business Name Application 30-13-207, Mca - Secretary Of State

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