Declaration Of Income Invention Developer
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Declaration Of Income Invention Developer Form. This is a California form and can be use in Special Filings Secretary Of State.
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Tags: Declaration Of Income Invention Developer, NP SF 409D, California Secretary Of State, Special Filings
State of California
Secretary of State
DECLARATION OF INCOME
INVENTION DEVELOPER
(Business and Professions Code Section 22370 et seq.)
Complete and mail to: Secretary of State, P.O. Box 942877,
Sacramento, CA 94277-0001. (916) 653-3984
(Office Use Only)
The undersigned does hereby state and declare:
That I am the _______________________________________________________________________________________
Title of Officer
of________________________________________________________________________________________________________
Name of Business
developer located at _________________________________________________________________________________________
Street Address
__________________________________________________________________________________________________
City
State
Zip Code
That for the purpose of complying with California Law, I hereby state and declare that the total amount of fees charged
buyers by said invention developer organization under contracts entered into between the invention developer organization and
such buyers during the previous 12 months from ________________________________to________________________________
Date
Date
was in the sum of $___________________________.
Amount
I further declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct of
my own knowledge.
Executed on __________________________at______________________________________, ____________________
Date
City
State
________________________________________________
Signature of Declarant
________________________________________________
Typed or Printed Name of Declarant
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
SEC/STATE FORM NP/SF 409D (Rev. 03/2005)
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