Certificate Of Assumed Business Name Form
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1227
CERTIFICATE OF
RESET FORM
ASSUMED BUSINESS NAME
Title 30, Chapter 21, Part 8, Idaho Code.
Filing fee: $25.00.
1. The assumed business name which the undersigned use(s) in the transaction of business is:
2. The individual and/or entity names and business address(es) of those doing business under
the assumed business name
:
(do not include the name you listed in #1)
(Name)
(Address)
(Name)
(Address)
(Name)
(Address)
(Name)
(Address)
3. The general type of business transacted under the assumed business name is:
Retail Trade
Construction
Transportation and Public Utilities
Agriculture
Wholesale Trade
Mining
Manufacturing
Services
Finance, Insurance, and Real Estate
4. Mailing address for future correspondence:
5. Name and address for this acknowledgment
copy is
:
(if other than # 4)
(Name)
(Name)
(Address)
(Address)
(City)
(State)
(Zipcode)
(City)
(State)
(Zipcode)
Printed Name:
Secretary of State use only
Signature:
Printed Name:
Signature:
Printed Name:
Signature:
Rev. 08/2015
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Parent category: Legal