Form Sfn 13401 - Trade Name Registration - 1999

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FOR OFFICE USE ONLY
ID #
TRADE NAME
REGISTRATION
WO #
SECRETARY OF STATE
SFN 13401 (3-99)
Filed
By
Expiration Date
1. 1. FILING
FILING FEE
FEE $25.00
$25.00
Five
Five Year
Year Duration
Duration
SEE REVERSE SIDE FOR FEES, FILING AND MAILING INSTRUCTIONS
For reference, see North Dakota Century Code, Chapter 47-25.
2. Trade Name
3. The nature of the business transacted (in detail)
4. Trade Name is used and owned by (select one)
Individual
Corporation incorporated in state of ____________________________
Husband & Wife
Limited Liability Company organized in state of ___________________
Other - Define (See Instructions) _______________________________________________________________________________________________
5. Telephone # of Owner
6. Toll-Free Telephone #
7.
The corporation, the limited liability company, or individual(s) using the trade name, their Federal ID/Social Security #, and the address of their
principal places of business
COMPLETE ADDRESS
FEDERAL ID/
NAME
SOCIAL
SECURITY #
Street/RR
PO Box
City
State
Zip +4
8. "I (we), the owner(s), say that I (we) have read the foregoing registration, know the contents thereof, and believe the statements made to be
true."
Signature
Date
Signature
Date
9. Name of person to contact about this registration
Daytime telephone #

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