Application To Change Name
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Application To Change Name Form. This is a Washington form and can be use in Liquor Control Board Statewide.
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Tags: Application To Change Name, LIQ 701-50, Washington Statewide, Liquor Control Board
For Validation Only
Liquor Control Board
Licensing and Regulation
3000 Pacific Ave SE
PO Box 43098
Olympia WA 98504-3098
www.liq.wa.gov
01P-400-925-0003
Application to Change Name for (check one):
Corporation
Limited Liability Company
Limited Liability Partnership
Limited Partnership
Trade Name
This application does not apply to any other license or permit. In order for the Liquor Control
Board to approve this request, an entity name change must be first registered with the
Washington Secretary of State (the Secretary of State can be reached at 360-753-7115).
Please call the customer service desk if you have any questions at (360) 664-1600
Current Liquor License No.
Class of Liquor License
UBI No.
Licensee Name(s)
Mailing Address
Phone No.
(
)
Current Corporate/LLC/LLP/LP/Trade Name
Corporate/LLC/LLP/LP/Trade Name Applied For
Signature of Licensee or Designee
Title
Date
LIQ 701-50-6/05
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