Form 635_0118 - Application For Registration Of Corporate Name
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1
2PAUL D. PATE
APPLICATION FOR
REGISTRATION OF
Secretary of State
CORPORATE NAME
State of Iowa
TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
The undersigned entity applies for the registration of its name, pursuant to the (check one)
Iowa Business Corporation Act (profit corporation Iowa Code ch. 490).
Revised Iowa Nonprofit Corporation Act (nonprofit corporation Iowa Code ch. 504).
1. The name of the business entity is ____________________________________________
1A. [If applicable] The name to be registered if different than the name of the business entity because
the real name is unavailable is _______________________________________________
2. The state or foreign country in which the business entity is incorporated/formed
is _____________________________________________________________________
3. The date of incorporation/formation of the business entity is _________________________
4. A brief description of the nature of the business in which the entity is engaged is
_______________________________________________________________________
5. A certificate of existence, or a document of similar import, from the state or country of
incorporation/formation, accompanies this application.
6. The name and address of the applicant is:
Name
________________________________________________________________
Address
______________________________________________________________
City, State, Zip __________________________________________________________
Signature ______________________________________________________________
Type or print name & title ___________________________________________________
635_0118
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Parent category: Legal