Form 01b - Application For Renewal Of Assumed Business Name printable pdf download

Prepare, sign, and submit with an original signature and filing fee.

This is the minimum information required.

STATE OF MONTANA

)

(This space for Secretary of State use only

APPLICATION for RENEWAL of ASSUMED BUSINESS NAME

30-13-207, MCA

LINDA McCULLOCH

MAIL:

Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

PHONE:

(406) 444-3665

FAX:

(406) 444-3976

Required Filing fee: $20.00

WEB SITE:

sos.mt.gov

 24 Hour Priority Handling check box and Add $20.00

 1 Hour Expedite Handling check box and Add $100.00

Folder ID Number: _________________

The folder number begins with an “A” and may be

Make checks payable to Secretary of State.

referenced at https://app.mt.gov/bes/.

If the document is hand written, please print legibly or the application may be denied.

1. The complete Assumed Business Name:

__________________________________________________________________________________________________________

NOTE: Must be identical to the assumed business name as currently registered with the Montana Secretary of State’s office.

2. The description of the business transacted under the Assumed Business Name

__________________________________________________________________________________________________________

NOTE: Must be identical to the description or purpose on file with the Montana Secretary of State’s office.

3. The name and business mailing address of the applicant:

Name: ___________________________________________________________________________________________________

Check only one:  Corporation  Limited Liability Company  Limited Liability Partnership  Limited Partnership

 Association (attach the names and business mailing addresses of all the members)

 A Partnership (attach the names and business mailing addresses of all the partners)

 Individual

(If the names do not correspond to the names currently registered, you will also need to file an

Application for Amendment to Registration

of Assumed Business

Name.)

Business Mailing Address: ___________________________________________________________________________________

City:________________________________________________________ State:___________ Zip Code:_____________________

4. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this

document are true.

__________________________________________________________________________________

____________________

Signature of Applicant (all Partnerships and LLPs must have at least two signatures)

Date

____________________________________________________________

___________________________________________

Printed Name

Title

5. Daytime Contact: Phone___________________________________ Email ____________________________________________

sos.mt.gov/Business/Forms

01B-Renewal_of_Assumed_Business_Name.doc

Revised: 01/2016

Form 01b - Application For Renewal Of Assumed Business Name

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