Certificate For Registration Of Trade Name Template Page 2

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Non-Resident partners or members of association sign below:
STATE OF _____________________________________________ )
COUNTRY OF __________________________________________ )
The undersigned, non-resident of the Virgin Islands, doing business in the Virgin Islands as partner or
member in the firm under the trade name _________________________________________
________________________________________ hereby subscribes to the certificate on the reserve side of this
form, and appoints _________________________________________________________ a person residing and
having an office or place of business located at ___________________________
__________________________________________________________________________________
as
his
agent upon whom process against the undersigned may be served in an action founded upon a liability incurred
in the Virgin Islands.
______________________________________________
Signature
Subscribed and sworn to before me this _______ day of _____________________, _________.
______________________________________________
Notary Public
STATE OF _____________________________________________ )
COUNTRY OF __________________________________________ )
The undersigned, non-resident of the Virgin Islands, doing business in the Virgin Islands as partner or
member in the firm under the trade name _________________________________________
________________________________________ hereby subscribes to the certificate on the reserve side of this
form, and appoints _________________________________________________________ a person residing and
having an office or place of business located at ___________________________
__________________________________________________________________________________
as
his
agent upon whom process against the undersigned may be served in an action founded upon a liability incurred
in the Virgin Islands.
______________________________________________
Signature
Subscribed and sworn to before me this _______ day of _____________________, _________.
______________________________________________
Notary Public
Certificate of county clerk or similar officer must accompany the notary’s acknowledgment.
Section 1204, Title 11 of the Virgin Islands Code provides:
“A trade name registered in accordance with the provisions of V.I.C. Title 11, Chapter 21 shall not be the
same as nor so similar as to cause confusion with, the trade name of any person, partnership, association or
corporation, foreign or domestic, doing business under such trade name in the Virgin Islands.”
A fee of $25.00 must accompany two originally executed certificates. If the certificates are mailed, attach a
money order or check payable to the “Government of the Virgin Islands”, but address the envelop to “Office of the
Lieutenant Governor, Division of Corporation and Trademarks, Kongens Gade No. 5049, St. Thomas, VI 00802”.

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