Form 08-575 - Application For Reservation/registration Of Trade Name

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APPLICATION FOR RESERVATION/REGISTRATION OF TRADE NAME
(Please review instructions before completing form. Please type or print clearly.)
This application is for (check one only):
New Renew
Reservation of Corporate, Limited Liability Company, Limited Partnership, or Limited
Liability Partnership (Valid for 120 days; Nonrenewable)
Registration of Business or DBA (Doing Business As) Name (Valid for 5 years;
Renewable)
Business License Number ______________________________
Registration of an Out-of-State Corporation, Limited Liability Company, Limited
Partnership, or Limited Liability Partnership Name
(Valid for calendar year filed; Renewable; Original certificate of good standing no older
than 60 days required.)
1. The name being reserved/registered: Business or DBA (Circle one)
2. The Name of the Business Owner(s) or Applicant (or corporate name if filing a DBA):
3. The mailing address of the business:
4. The nature of the company’s business activities:
Signature: ________________________________ Title:______________________________________
FEE: $25.00
SUBMIT AN ORIGINAL AND ONE COPY TO:
THE STATE OF ALASKA
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT
DIVISION OF BANKING, SECURITIES AND CORPORATIONS
P O BOX 110808
JUNEAU AK 99811-0808
(907)465-2530
NO RENEWAL NOTICE WILL BE SENT
RENEWAL PERIOD IS OCTOBER 1 THROUGH DECEMBER 31
FILE NUMBER
DATE RESERVED
EXPIRATION DATE
08-575
3
Rev. 12/99

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