Certificate For Registration Of Trade Name Template
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1
2(For use by sole proprietors, partnerships or associations
of individuals other than corporations)
Daytime Telephone No. ________________________
CERTIFICATE
For Registration of Trade Name under Title 11, Chapter 21 of the Virgin Islands Code
-----o-----
To: The Lieutenant Governor of the Virgin Islands
TERRITORY OF THE VIRGIN ISLANDS
JUDICIAL DISTRICT OF ST.____________________________
The undersigned parties, comprising a co-partnership or an association of individuals other than a
corporation conducting or intending to conduct a business in the Virgin Islands, hereby request that the trade
name set forth below, under which such business shall be conducted, be registered in accordance with the
provisions of Chapter 21, Title 11 of the Virgin Islands Code, and we certify the following:
Print
Trade Name:
______________________________________________________________________
Print
Nature of Business:
________________________________________________________________
Print
Location of Business:
________________________________________________________________
True and real names of all parties conducting
or having an interest in the business
P.O. Box Address
Print
__________________________________________
_____________________________________
__________________________________________
_____________________________________
__________________________________________
_____________________________________
__________________________________________
_____________________________________
__________________________________________
_____________________________________
__________________________________________
_____________________________________
(Partners or members of the association, residing in the Virgin Islands sign below. Non-resident
partners or members sign on reverse side of this form.)
Sign
_______________________________________
_____________________________________
_______________________________________
_____________________________________
_______________________________________
_____________________________________
Subscribed and sworn to before me this ________ day of ________________________ _______.
___________________________________
Notary Public
*Registered Tradenames must be renewed every 2 years.
(Over)
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