Name Of Farm, Ranch, And Home Registration Application
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Name Of Farm, Ranch, And Home Registration Application Form. This is a South Dakota form and can be use in Trademark Secretary Of State.
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Tags: Name Of Farm, Ranch, And Home Registration Application, South Dakota Secretary Of State, Trademark
Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
(605)773-3539
State of South Dakota
Name of Farm, Ranch, and Home Registration
Application
SDCL 43-27-1
FILING FEE: $15 payable to SECRETARY OF STATE
1. Applicant: ____________________________________________________________________________________
Address: ___________________________________________ City: ____________________________________
County: ___________________________________ State: __________________ Zip: _____________________
2. Name of Farm, Ranch, or Home: __________________________________________________________________
______________________________________________________________________________________________
3. Location:
*** This section is to be completed in the presence of a Notary Public ***
I declare and affirm under the penalty of perjury that the application is in all things, true and correct.
Dated _________________________________
By: ___________________________________________
(Signature)
ACKNOWLEDGEMENT:
___________________________________________
(Title)
State of _________________________ )
)ยงยง
County of ________________________ )
Subscribed and sworn to before me this _______ day of ________________________ , 20 _______ , before me,
______________________________, the undersigned officer, personally appeared _____________________________
known to me or satisfactorily proven to be the person who executed the foregoing instrument, and acknowledged that this
person executed the some of his own free act and deed.
In witness whereof, I hereunto set my hand and official seal.
_________________________________
My Commission Expires
______________________________________________
Notary Public
(Notarial Seal)
Farm/Ranch/Home Registration 07/01/2009
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