Application For Renewal Of Trade Name Form - Arizona Secretary Of The State

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Office Use_____________
Approved by:_____________
Please mail renewal to:
Betsey Bayless
Secretary of State
Trade Name Division
1700 West Washington, 7th Floor
Phoenix, Arizona 85007
602/542-6187
Filing Fee: $10.00
APPLICATION FOR RENEWAL OF TRADE NAME
(A.R.S. Title 44, Chapter 10, Article 3.1)
Trade Name:
Registration number:
Your certificate and future renewal notices are dependent on accurate address information including suite
numbers. Remember to update your record if you move. Ownership of trade name may not be transferred
on this form. Please see “Assignment of Trade Name” form.
Name and address of Applicant(s):
Name
Street or Box #
City
State
Zip
Is this a new address?
Yes
No
Phone number (optional):
Please check one. Do not select “Corporation” or “LLC” if you are not currently incorporated, or
your application will be returned to you.
Person
Firm
Arizona Corporation
LLC
Foreign Corporation licensed to do business in Arizona
Partnership
Association
Society
Organization
Original Date of Registration:
Length of time the name or title has been used by applicant in operations within this state:
Applicant’s Printed Name
Applicant’s Signature

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