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Certificate Of Assumed Business Name 30353 - Indiana
| Certificate Of Assumed Business Name Form. This is a Indiana form and can be used in Names Corporations Secretary Of State . |
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CERTIFICATE OF ASSUMED BUSINESS NAME (All Entities) State Form 30353 (R14 / 4-12) Approved by State Board of Accounts, 2002 CONNIE LAWSON SECRETARY OF STATE CORPORATIONS DIVISION 302 W. Washington Street, Room E018 Indianapolis, Indiana 46204 Telephone: (317) 232-6576 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 $26.00 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 7. Printed name and title This instrument was prepared by: American LegalNet, Inc. www.FormsWorkFlow.com
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