TN App Rev. APPLICATION FOR REGISTRATION OF TRADE NAME , Secretary of State P.O. Box 94608, Lincoln, NE 68509 (402)471-4079 Submit in Duplicate PUBLICATION REQUIREMENT: Neb. Rev. Stat. 24787-219 "Every duplicate of the registration of a trade name shall be published by the applicant once in a newspaper of general circulation published in the city or village where the business is to be located, or, if there is no newspaper in the city or village, in some newspaper of general circulation in the county. Proof of such publication shall be filed in the office of the Secretary of State within forty-five days from the date of registration in the office of the Secretary of State. Ifproofofpublication isnot filed with the Secretary ofStatewithin theforty-fivedays, the registration shall be canceled by the Secretary of State." Trade Name Name of Applicant Address street address city state zip Applicant is Individual Corporation Limited Liability Company Partnership Limited Liability Partnership Limited Partnership Other (specify) If other than an Individual, state under whose laws entity was formed: Date of first use of name in Nebraska General nature of business Signature of Applicant or Legal Representative Please Note: Registration of a trade name with the State of Nebraska does not guarantee that a similar name has not been registered nationally with the U.S. Patent and Trademark Office. To check national availability go to: http://www.uspto.gov/main/trademarks.htm Make check payable to: Nebraska Secretary of State FILING FEE: $100.00 Registration Expires 10 years from date of filing SEE SECOND PAGE FOR INSTRUCTIONS TO PUBLISH LEGAL NOTICE OF A TRADE NAME American LegalNet, Inc. www.FormsWorkFlow.com Trade Name Publication The following are the statutory requirements for publishing notice of your Trade Name: 1)You are required by law to publish one legal notice in a newspaper stating you haveregistered a Trade Name with the Secretary of State222s Office. The newspaper must have ageneral circulation in the city or village where the business is to be located or if there isno newspaper in the city or village, in a newspaper of general circulation in the county. 2)As soon as you have received the duplicate copy of the filed Trade Name applicationback from the Secretary of State222s office, we suggest that you immediately take thisduplicate copy of your application to the newspaper so that the newspaper has the exactinformation to publish the required legal notice of the Trade Name. 3)You should verify that the information in the legal notice is an exact duplicate of theinformation on the Trade Name application, either by double-checking the notice the dayit is published in the newspaper or by asking the newspaper for a proof of the notice priorto publication. If the legal notice was published with incorrect or incomplete information,you will need to re-publish the legal notice again, as soon as possible, so that you are stillable to get proof of the publication from the newspaper to the Secretary of State222s Officefiled properly within the statutory 45 day timeframe. 4)After the newspaper has published the legal notice, the newspaper will provide anotarized Affidavit of Publication. NOTE: The Affidavit must be filed with the Secretary of State222s office within 45 days of the date of registration of the Trade Name with the Secretary of State222s office. You may wish to verify with the newspaper whether they will send the Affidavit of Publication directly to our office or to you. It is your responsibility to insure that the Affidavit is filed within the 45 day timeframe allowed by law. If the Affidavit is not received by the Secretary of State222s office within 45 days of the filed registration of the Trade Name, the registration shall be canceled by the Secretary of State per Neb. Rev. Stat. 24787-219. There is NO fee to file the proof of publication with the Secretary of State222s Office. The Affidavit of Publication may be filed free of charge online at https://www.nebraska.gov/apps-sos-edocs/ Or, you may mail it to: Secretary of State222s Office Business Services Division (Corporations) P.O. Box 94608 Lincoln, NE 68509 American LegalNet, Inc. www.FormsWorkFlow.com