Certificate Of Assumed Business Name
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Certificate Of Assumed Business Name Form. This is a Indiana form and can be use in Corporations Secretary Of State.
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Tags: Certificate Of Assumed Business Name, 30353, Indiana Secretary Of State, Corporations
CERTIFICATE OF ASSUMED BUSINESS NAME
(All Entities)
CONNIE LAWSON
SECRETARY OF STATE
CORPORATIONS DIVISION
302 W. Washington Street, Room E018
Indianapolis, Indiana 46204
Telephone: (317) 232-6576
State Form 30353 (R14 / 4-12)
Approved by State Board of Accounts, 2002
INSTRUCTIONS:
Use an 8 1/2 x 11 sheet of white paper for attachments.
Present original and one (1) copy to address in upper right corner of this form.
Please TYPE or PRINT.
Please visit our office on the web at www.sos.in.gov.
FILING FEES PER CERTIFICATE:
For-Profit Corporation, Limited Liability
Company, Limited Partnership
$30.00
Not-For-Profit Corporation
1. Name of entity
2. Date of incorporation / admission / organization (month, day, year)
3. Address at which the entity will do business or have an office in Indiana. If no office in Indiana, then state current registered address (street address)
City, state and ZIP code
4. Assumed business name(s)
5. Principal office address of the entity (street address)
City, state and ZIP code
6. Signature of officer or other authorized party
$26.00
7. Printed name and title
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