Central Filing System Form - Wyoming Secretary Of State

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Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email:
UCC@wyo.gov
Central Filing System
1. General Information
a. Business Name
b. Business Mailing Address
c. City/State
d. Zip Code
e. Name of Contact Person
f. Contact Telephone Number
g. Email Addresses for Sending Data/Reports (may have more than one)
h. SSN / EIN
2. Farm Product Registration Renewal – No Fee
NOTE: regardless of the product selected, the method of delivery is via email only.
Please indicate your choices below.
Livestock Report
Crop Report
Livestock and Crop
Livestock Raw Data
Crop Raw Data
Livestock and Crop Raw Data
3. Agreement and Signature:
I agree to use the Master List for its intended purpose only and to keep the
information contained within the Master List confidential. I agree to provide the Secretary of State’s Office 30-
days’ notice to cancel this service.
Signature of Authorized Individual
Printed Name of Signatory
Signatory Title
Date of Signature
BuyerRegistration – 01/16

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