Statement Of Trade Name Of An Estate A Trust A State Or An Other Jurisdiction
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1
2Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trade Name of an Estate, a Trust, a State or an Other Jurisdiction
filed pursuant to §7-71-103 and §7-71-107 and of the Colorado Revised Statutes (C.R.S)
1.
(Complete the following statement by marking the applicable box. Caution: Mark only one box
.)
The person delivering this statement is
an estate.
a trust.
a state.
a jurisdiction other than a state.
2. The true name of such person is
______________________________________________________.
3. The principal address of such person is
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________.
(Province – if applicable)
(Country – if not US)
4. The trade name under which such person transacts business or conducts activities or contemplates
transacting business or conducting activities in this state is
______________________________________________________________________________________.
5. A brief description of the kind of business transacted or activities conducted or contemplated to be
transacted or conducted in this state under such trade name is
_____________________________________________________________________________________.
6.
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
7.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has
significant legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ____________________________.
(mm/dd/yyyy hour:minute am/pm)
TRDNM_PER
Page 1 of 2
Rev. 1/01/2008
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