Fillable Form Sfn 53850 - Trade Name Assignment printable pdf download

Form Sfn 53850 - Trade Name Assignment

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COMPLETE, PRINT, SIGN AND FAX OR MAIL

(If paying with credit card complete authorization at bottom of page 3)

FOR OFFICE USE ONLY

TRADE NAME ASSIGNMENT

ID#:

SECRETARY OF STATE

SFN 53850 (06-2006)

WO#:

Filed:

By:

1. FILING FEE: $25.00

Expiration Date:

TYPE OR PRINT LEGIBLY

SEE INSTRUCTIONS FOR FILING AND MAILING GUIDANCE

For reference, see North Dakota Century Code, Chapter 47-25.

2. Trade Name:

3. Assignor(s): (owner(s) currently recorded with the Secretary of State)

SOCIAL

COMPLETE ADDRESS

SECURITY/

NAME

FEDERAL ID #

Street/RR

PO Box

City

State

Zip+4

4. Trade name is being assigned to be 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 number of assignee:

6. Toll-free telephone number:

7. Assignees: The name(s) of the individual(s), corporation, or limited liability company, acquiring the trade name, their Federal ID/Social Security Number,

and the address of their principal place of business.

SOCIAL

COMPLETE ADDRESS

SECURITY/

NAME

FEDERAL ID #

Street/RR

PO Box

City

State

Zip+4

8. The nature of the business transacted: (In detail)

9. "The assignor(s) declare(s) he/she is/are the owner(s) of this trade name and hereby assign(s) this trade name to the assignee(s) with the good will of the

business connected with the use thereof.

I (We), the assignor(s), say that I (we) have read the foregoing assignment, know the contents thereof, and believe the statements made thereon to be

true."

Signature of assignor

Date

Signature of assignor

Date

E-mail address:

Daytime telephone #:

10. Name of person to contact regarding this registration: