Report Of Use Of Fictitious Name - Ohio Secretary Of State
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1J. Kenneth Blackwell
Prescribed by
Expedite this form
Please obtain fee amount and mailing instructions from the Forms
Yes
Inventory List (using the 3 digit form # located at the bottom of this
form). To obtain the Forms Inventory List or for assistance, please
call Customer Service:
Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)
REPORT OF USE OF FICTITIOUS NAME
1.
The exact fictitious name being reported is:
(SEE INSTRUCTIONS # 1 )
Please note that the filing of a fictitious name report is NOT an AUTHORIZATION from the Secretary of State's Office to
use the name. Filing such a report will not protect the user from any lawful claims of persons/entities having superior rights
in the same or a similar name.
2.
The applicant is: (check appropriate box)
an individual
an Ohio corporation, charter no.
a General Partnership
a foreign corporation incorporated in the state of
a Limited Partnership, registration
holding Ohio license no.
no.
an unincorporated association
an Ohio Limited Liability Company, registration
a foreign limited liability company organized in the state of
no.
holding Ohio license no.
3.
The name of the applicant designated in item 2 is
NOTE:
When the applicant is a partnership, the name of the partnership must appear on this line.
4.
The business address of the user is:
(street address)
(city, township, or village)
(county)
(state)
(zip code)
NOTE:
P.O. Box addresses are not acceptable.
5.
Complete only if applicant is a partnership:
NAMES OF ALL GENERAL PARTNERS
COMPLETE RESIDENCE ADDRESSES (including zip code)
NOTE:
P.O. Box addresses are not acceptable.
6.
The nature of business conducted by the user under the fictitious name is
This document is signed by the user or an Authorized
Representative of the user.
Signature:
Name:
169-NFO
Page 1 of 1
Version: 7/15/99
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