Form Abn-1 - Application For Registration Or Renewal Of Assumed Business Name Form - State Of Montana - Secretary Of State
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1Prepare, sign and submit an ORIGINAL AND COPY with fee.
STATE OF MONTANA
This is the minimum information required.
(This space for use by the Secretary of State only)
APPLICATION for REGISTRATION
or RENEWAL of ASSUMED
BUSINESS NAME
MAIL:
BOB BROWN
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
PHONE:
(406)444-3665
Form: ABN-1
FAX:
(406)444-3976
Filing Fee: $20.00
WEB SITE:
P
*
:
LEASE CHECK ONE BOX
= =
*
Registration of ABN(30-13-203, MCA) $20.00
Priority Filing Add $20.00
Renewal of of ABN(30-13-207, MCA) $20.00
F
: The Assumed Business Name is ___________________________________________
IRST
_______________________________________________________________________________
The name to be registered cannot include the words "corporation," "company," "incorporated," "limited," or
PLEASE NOTE:
an abbreviation of one of these except when the applicant is a corporation.
S
: The description of the business transacted under the Assumed Business Name:
ECOND
______________________________________________________________________________
T
: The date the applicant first used the assumed business name (Mo\Day\Yr):
HIRD
F
: The name and address of the applicant are as follows:
OURTH
Name __________________________________________________________________
Mailing Address __________________________________________________________
_________________________________________________ Zip Code ______________
F
*
: The applicant is (check one and complete where appropriate):
IFTH
*
A Corporation
*
A Limited Liability Company
*
Association (Attach the names and addresses of members)
*
An Individual
*
Other:
*
Limited Liability Partnership (Attach the names and addresses of partners)
A Partnership, and the names and addresses of the partners are:
_________________________________________________________________________
_________________________________________________________________________
I, H
S
A
, under penalty of law, that the facts contained in this Application
EREBY
WEAR AND
FFIRM
are true.
_______________________________________________________
Signature of Applicant
Date
s:\forms\abn-1
Revised: 6/6/2001
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