Certificate Of Assumed Name Renewal - Minnesota Secretary Of State Page 2
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1
2INSTRUCTIONS
Retain the original signed copy of this document for your records and submit a legible photocopy for filing
with the Secretary of State.
1. Review the information currently on file with the Secretary of State's office. This information is found on the left side of the
form.
2. If the information on file with our office is current, the nameholder must sign the document and submit the renewal along
with the $25 filing fee.
3. If the information on the left side of the form is no longer current, please fill in the current information in the box to the
right of the item that you are changing.
4. If any changes are made to item #5, please remember to fill in the name and full street address of all persons conducting
business under this assumed name. Note: If the business owner is a corporation or other business entity you must give the
legal business name and the legal registered office address or principal place of business, whatever is applicable. Attach
additional sheets for nameholders if necessary.
5. The form must be signed by one of the most current nameholder(s), or authorized agent (The signing party must indicate
on the document that they are acting as the agent of the person(s) whose signature would be required and that they have been
authorized to sign on behalf of that person(s).
6. We will notify you when your assumed name renewal has been accepted. If the right side of the form has been filled in,
you must publish the changes in the legal notices of a qualified legal newspaper for two consecutive issues, in the county in
which the business has its principal or registered office. The newspaper will then send back to you an affidavit of publication,
with the newspaper ad attached. The affidavit does not need to be sent to our office. Failure to publish the changes may
render them invalid.
7. List the name and daytime telephone number of a person who can be contacted about the form.
8. The penalty for doing business without filing this renewal is a $250.00 fee payable to any opposing party in any legal
contest.
9. Filing Fee is $25.00 Payable to the MN Secretary of State.
FILE IN-PERSON OR MAIL TO:
Minnesota Secretary of State - Business Services
Retirement Systems of Minnesota Building
60 Empire Drive, Suite 100
St Paul, MN 55103
(Staffed 8:00 - 4:00, Monday - Friday, excluding holidays)
To obtain a copy of a form you can go to our web site at
, or contact us between 9:00am to 4:00pm,
Monday through Friday at (651) 296-2803 or toll free 1-877-551-6767.
All of the information on this form is public. Minnesota law requires certain information to be provided for this type of filing. If
that information is not included, your document may be returned unfiled. This document can be made available in alternative
formats, such as large print, Braille or audio tape, by calling (651)296-2803/voice. For a TTY/TTD (deaf and hard of hearing)
communication, contact the Minnesota Relay Service at 1-800-627-3529 and ask them to place a call to (651)296-2803. The
Secretary of State's Office does not discriminate on the basis of race, creed, color, sex, sexual orientation, national origin,
age, marital status, disability, religion, reliance on public assistance or political opinions or affiliations in employment or the
provision of service.
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