COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : The enactment of the Omnibus Regulatory reform Act of 1998 requires that trade names be registered with the : Department of Consumer and Regulatory Affairs (DCRA). Complete this application to register your trade name. A $50.00 fee must be submitted for each trade name registration. Make check payable to DC Treasurer. Defendant(s) : ...................................................... This Packet Includes: Trade Name Application Form Amendment & Cancellation Form Important Information THE PEOPLE OF THE STATE OF NEW YORK INSTRUCTIONS TO REGISTER A TRADE NAME TO 1. Enter the trade name you want to register. Trade names may include the words "company", "and sons", or "and associates." Trade names may not include the true and real name of persons conducting the business, the words "corporation," "incorporated," "partnership," "limited", or any verification. Sexually explicit words or terms are also forbidden. Registration of corporate, partnership or limited liability company names is not required. GREETINGS: 2. Enter the full legal name of the entity or individual using the trade name. WE COMMAND YOU, that all business 3. Check the appropriate type of entity. Check only one. and excuses being laid aside, you and each of you attend before , the Honorable at the Court 4. Enter your Federal Employer Identification Number (FEIN). You may also use your Social Security Number, if you do located at County of not have an FEIN. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned name of the person give evidence as a witness in this response the part of the 5. Enter the full legaldate, to testify and submitting the application. If same as action on to Question 2, please indicate “Same as Question 2.” If owner(s) of the trade name is/are individuals then provide the individual's name and address. The social security numbers should be provided if applicant does not have FEIN. 6. Enter applicant’s title in business entity. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to thethe complete business address of business/individual identifiedmaximum penaltyfuture mailingsall damages sustained as a party on whose behalf this subpoena was issued for a in Question 2. All of $50 and and any 7. Enter result of your failure to registration certification requested on this comply. form will be sent to this address. Any address change must be submitted in writing to DCRA to the mailing address below. Witness, Honorable Questions 8 and 9 apply to corporations, partnerships or limited liability companies only. Court in County, day of , one of the Justices of the , 20 8. Enter the name, title and home address of one officer, director, manager or partner. 9. Enter the name, company and address of the registered agent. (Attorney must sign above and type name below) The application must be signed and dated. Please also provide a phone number and email address. A certificate of trade name registration will be mailed once the trade name registration has been completely processed. 10. Make check for applicable fees payable to DC Treasurer. Send completed forms and payment to: Attorney(s) for MAILING ADDRESS: DCRA CORPORATIONS DIVISION ATTN: TRADE NAME REGISTRATION 941 N. CAPITOL STREET, NE, ROOM 7200 WASHINGTON, D.C. 20002 WEB SITE URL: HTTP://WWW.DCRA.DC.GOV OFFICE LOCATION: BUSINESS LICENSE CENTER 941 N. CAPITOL STREET, N.E., ROOM 1100 WASHINGTON, D.C. 20002 Office and P.O. Address HOURS OF OPERATION: 8:30 A.M. – 4:15 P.M. CONTACT INFORMATION: Telephone No.: PHONE: (202) 442-4432 FAX: (202) 442-4523 Facsimile No.: E-Mail Address: Mobile Tel. No.: 10/10/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Trade Name Registration Form: Important Information Legal Background : Index No. Calendar No. • The enactment of the DC Omnibus Law 20-212 requires individuals to register trade names with the DC Department of Consumer : and Regulatory Affairs. Plaintiff(s) • The new law allows businesses to use fictitious names in conducting business, including transacting business with vendors and financial institutions. -against: • The trade name registration officially records the names of all owners associated with a fictitious name. • Businesses with fictitious names can now undertake legal action under the trade name registration. : • Businesses can change the name, change ownership, or cancel the trade name registration. • Businesses may include the words company, and sons or and associates in the trade name. • Businesses are prohibited from using names that include the true and real name of the person conducting the business, sexually : explicit or other forbidden terms, or the term corporation, incorporated, partnership, limited, or inc. JUDICIAL SUBPOENA Defendant(s) : ...................................................... Name Changes and Cancellations A business entity must file an amendment to a trade name with the Department when: • The true and real name of a person conducting a business with a trade name registered in the District changes. • The mailing address set forth on the registration or on any filed amendment change THE PEOPLE OF THE STATE OF NEW YORK • A transfer occurs A business entity must file a cancellation with the Department when: use of a trade name discontinued. A business entity TO must file a notice of cancellation and a new trade name registered before conducting or transacting any business when: • An addition, deletion, or change of persons or persons conducting or transacting business on behalf of the trade name occurs. • The wording or spelling of the trade name changes GREETINGS: Registration and Renewal Certification will WE COMMAND YOU, that all business of the registration of the authorized persons of the business be required on the application for trade name and excuses being laid aside, you and each of you attend at the Court entitythe Honorable limited to the following types of business registrations: including, but not before located at County of The sole proprietor of a sole proprietorship in room , on or domestic day of or limited partnership or limited liability partnership. the , 20 , at o'clock in noon, and at any recessed A general partner of a foreign the general An organizer or managing member of a foreign or domestic as a witnesscompany action on the part of the or adjourned date, to testify and give evidence limited liability in this • • • • An incorporator, director, or officer of a foreign or domestic corporation. If the trade name registration is related to a person registered with a basic business license the trade name registration shall have the same expiration date as the basic business license. Otherwise, the registration will remain in effect for two years from the date of issuance. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure Certification Required Registration andto comply. Unless exempt under section 47-2851.2 of the District of Columbia Code. Witness, Honorable , the of the Justices of the • Registration with other agencies does not preclude any person from filing a similar trade name withoneDepartment. • Registration with the Department may not satisfy the legal requirements for registration with other agencies including the Alcohol Court in County, day of , 20 Beverage Control Regulation Administration. (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 10/10/03 American LegalNet, Inc. www.USCourtForms.com , COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : Trade Name Registration Form : INSTRUCTIONS: Complete the form below to register your trade name. Make copies of this form to register additional Defendant(s) : trade . . . . . . .There . . a . . . .fee for .each .registration. . . . . . check .payable.to .DC Treasurer. Mail your completed form . names. . . . . is . $50 . . . . . . . . . . . . . . . Make . . . . . . . . . . and payment to the address below. THE PEOPLE OF TO DCRA CORPORATIONS DIVISION THE STATE OFNAME REGISTRATION ATTN: TRADE NEW YORK 941 N. CAPITOL STREET, NE, ROOM 7200 WASHINGTON, D.C. 20002 FEES: $50.00 for registration of each trade name $50.00 for renewal of each trade name GREETINGS: $25.00 for each amendment to a registered trade name $25.00 for each cancellation of a registered trade name WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of 1. TRADENAME: (Please print the Trade Name as it should appear on the certificate) in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 2. FULL LEGAL NAME OF ENTITY/INDIVIDUAL USING THE TRADENAME: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this 3. TYPE OF ENTITY: (Check only one) subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to (If your business is located outside of DC, a resident/registered agent is required). ___ Sole Proprietor comply. ___ Corporation Witness, Honorable County, ___ Limited Liability Company Court in ___ Limited Liability Partnership , one of the Justices of the day of , 20 ___ Limited Partnership ___ General Partnership (Attorney must sign above and type name below) 4. FEIN NUMBER: (Use your Social Security Number if you do not have a Federal Employee Identification Number) Attorney(s) for 5. FULL LEGAL NAME OF PERSON SUBMITTING THIS FORM: (If same as Question 2, indicate “Same as Question 2”) Office and P.O. Address 6. APPLICANT’S TITLE IN BUSINESS ENTITY: Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page (1 of 2) 10/10/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. 7. COMPLETE BUSINESS ADDRESS: (Provide business address of entity/individual indicated in Question 2) : Calendar No. : JUDICIAL SUBPOENA Street address City -against- State Plaintiff(s) For corporations, partnerships and limited liability companies: Zip code : : 8. NAME AND HOME ADDRESS OF ONE OFFICER/DIRECTOR/MANAGER/PARTNER: Name ___________________________________________ Title __________________________ : Defendant(s) : ...................................................... Home address City State Zip code THE PEOPLE OF THE STATE OF NEW YORK 9. NAME AND ADDRESS OF REGISTERED AGENT: Name ___________________________________________ Company_________________________ TO Street address GREETINGS: City State Zip code WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court I certify that the information in this TRADE NAME REGISTRATION APPLICATION in the District of located at County of Columbia is true. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action ____________________________________________________________ on the part of the __________________ Signature of Business Owner (Required) Date (______) __________________________ ____________________________________ Business Telephone Number E-mail Address For Office Use Only Registration Number ________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Court in Witness, Honorable County, , one of the Justices of the day of , 20 CRIMINAL PENALTIES FOR MAKING FALSE STATEMENTS Any person convicted of making false statements shall be fined not more than $1,000 or imprisoned for not more than 180 days, or both. A person commit the offense of making false statements if that person willfully makes a false statement that is in fact material, in writing, (Attorney must sign above and the name below) directly or indirectly to any instrumentality of the District of Columbia government, under circumstance in which type statement could reasonably be expected to be relied upon as true. (D.C. Code §22-2405) D.C. INSPECTOR GENERAL HOTLINE If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any D.C. government agency, official or program, Attorney(s) 521-1639 (toll free). All reports are contact the Office of the Inspector General (OIG) at the OIG Hotline, (202) 727-0267 or (800) for confidential and you may remain anonymous. By law, government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties or criminal prosecution in appropriate cases. NOTICE OF NON-DISCRIMINATION In Accordance with the D.C. Human Rights Act of 1977, as amended, D.C. Code Office 2.1401.01 et seq., (“the Act”) the District of section and P.O. Address Columbia does not discriminate on the basis of race, color, religion, national origin, sex, age, martial status, personal appearance, sexual orientation, familial status, family responsibilities, matriculation, political affiliation, disabilities, source of income, or place of residence or business. Discrimination in violation of the act will not be tolerated. Violators will be subject to disciplinary action. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page (2 of 2) 10/10/03 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : Trade Name Amendments & Cancellations Form INSTRUCTIONS: : FEES: If you are making modifications to a Trade Name $50.00 for registration of each trade name Registration or need to cancel a previous registration, Defendant(s) for renewal of each trade name $50.00 : . . . . . . . . . . information . . . . . . . . check . . . . . . each please .complete .the . . . . . . . . .below.. Make . . . . . . . . . . . . . .$25.00. for . . . amendment to a registered trade name payable to DC Treasurer. Mail your completed form and $25.00 for each cancellation of a registered trade name payment to the address below. DCRA THE PEOPLE OF THE STATE OF NEW YORK CORPORATIONS DIVISION ATTN: TRADE NAME REGISTRATION TO 941 N. CAPITOL STREET, NE, ROOM 7200 WASHINGTON, D.C. 20002 I. CANCEL REGISTRATION. Complete this section to cancel the original registration: GREETINGS: TRADENAME Date filed Registration No. WE COMMAND YOU, that all business and cancellation excuses being laid aside, you and each of you attend before Date of , the Honorable at the Court located at must first cancel the original registration (Section I above), then County of II. CHANGE OWNERSHIP. To change ownership, you complete this section: , on the in room day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Current owner's signature (required) TRADENAME Date filed Registration No. New owner of trade name (please print) Signature (required) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was Effective date of new ownership: __________________issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. III. CHANGE NAME. To change a trade name, you must first cancel the original registration (Section I above), the complete this section: Court in TRADENAME Witness, Honorable County, , one of the Justices of the day of New Trade Name Effective date of name change: __________________ , 20 Date filed Registration No. Owner's signature (required) (Attorney must sign above and type name below) CRIMINAL PENALTIES FOR MAKING FALSE STATEMENTS Any person convicted of making false statements shall be fined not more than $1,000 or imprisoned for not more than 180 days, or both. Attorney(s) for A person commit the offense of making false statements if that person willfully makes a false statement that is in fact material, in writing, directly or indirectly to any instrumentality of the District of Columbia government, under circumstance in which the statement could reasonably be expected to be relied upon as true. (D.C. Code §22-2405) D.C. INSPECTOR GENERAL HOTLINE If you are aware of corruption, fraud, waste, abuse, or mismanagement involving any D.C. government agency, official or program, contact the Office of the Inspector General (OIG) at the OIG Hotline, (202) 727-0267 or (800) 521-1639 (toll free). All reports are Office and P.O. Address confidential and you may remain anonymous. By law, government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties or criminal prosecution in appropriate cases. NOTICE OF NON-DISCRIMINATION In Accordance with the D.C. Human Rights Act of 1977, as amended, D.C. Code section 2.1401.01 et seq., (“the Act”) the District of Telephone No.: Columbia does not discriminate on the basis of race, color, religion, national origin, sex, age, martial status, personal appearance, Facsimile No.: sexual orientation, familial status, family responsibilities, matriculation, political affiliation, disabilities, source of income, or place of residence or business. Discrimination in violation of the act will not be tolerated. Violators will beAddress:disciplinary action. E-Mail subject to Mobile Tel. No.: 10/10/03 American LegalNet, Inc. www.USCourtForms.com