Office Use ______ Approved by ______ r Please mail egistration and make check payable to: Secretary of State / Trade Name Division 1700 W Washington 7th Fl. Phoenix, Arizona 85007 Walk-in service: Tucson: 400 W. Congress, Ste. 252 (602) 542-6187 (800) 458-5842 (within Arizona) Filing Fee: $10.00 ttenneB neK R, 30 moo . lF ts , notgnihsaW . W 007 : xineohP 1 1 1 . APPLICATION FOR RENEWAL OF TRADE NAME (A.R.S. Title 44, Chapter 10, Article 3.1) This renewal application only satisfies the continuation of your Trade Name. Any changes of ownership of the Trade Name must be submitted on a Trade Name Assignment Application. If you do not wish to renew your Trade Name or fail to file this application by the expiration date, please understand that the Trade Name will expire and become available for registration by another applicant. Trade Name: Registration number: Your certificate and future renewal notices are dependent on accurate address information including suite numbers. Please update your record if you relocate. Applicant Name(s): (If more than 1 applicant, an “or” designation is assumed unless otherwise indicated) Business Address Street or Box # Is this a new address? Yes City State Zip No Phone number (optional): Applicant must check one. Do not select “Corporation” or “LLC” if you are not currently incorporated, or your application will be returned to you. Individual Partnership Corporation Foreign corporation licensed to do business in Arizona Association Organization LLC Other Original Date of Registration: Applicant’s Printed Name/Title Applicant’s Signature Date Applicant’s Printed Name/Title Applicant’s Signature Date TN rnwtn Revision 093009 American LegalNet, Inc. www.FormsWorkFlow.com