Virginia > Statewide > Circuit Court > General

Certificate Of Assumed Or Fictitious Name CC-1050 - Virginia

Certificate Of Assumed Or Fictitious Name Form. This is a Virginia form and can be used in General Circuit Court Statewide .
 Fillable pdf Last Modified 7/16/2008
Get this form for FREE as a print-only pdf

CERTIFICATE OF ASSUMED OR FICTITIOUS NAME Commonwealth of Virginia This is to certify that the below named person, partnership, limited liability company or corporation intends to conduct or transact business under an assumed or fictitious name in the [ ] City [ ] County of ........................................................................ . 1. The ASSUMED OR FICTITIOUS NAME of business: 2. NAME: ......................................................................................................................................................................................... The above business is owned by the following entity type: [ ] SOLE PROPRIETORSHIP (Complete A below) [ ] PARTNERSHIP (Complete B below) [ ] LIMITED LIABILITY COMPANY (Complete C below) [ ] CORPORATION (Complete C below). A. NAME OF OWNER: ............................................................................................................................................................ RESIDENCE ADDRESS: ..................................................................................................................................................... POST OFFICE ADDRESS: .................................................................................................................................................. B. NAME OF PARTNERSHIP: ................................................................................................................................................ OFFICE ADDRESS: ............................................................................................................................................................. POST OFFICE ADDRESS: .................................................................................................................................................. (1) Is this a general partnership? [ ] NO [ ] YES. If YES, complete the Statement of Partners on Page Two of Two. (2) Is this a domestic limited partnership? [ ] NO [ ] YES. If YES, a certified copy of this certificate must be filed with the State Corporation Commission. § 59.1-70. (3) Is this a foreign limited partnership? [ ] NO [ ] YES. If YES, indicate the date of the certificate of registration to transact business in the Commonwealth of Virginia issued by the State Corporation Commission: .................................................. A certified copy of this certificate must be filed with the State Corporation Commission § 59.1-70. C. NAME OF [ ] CORPORATION [ ] LIMITED LIABILITY COMPANY: .............................................................................................................................................................................................. OFFICE ADDRESS: ........................................................................................................................................................... POST OFFICE ADDRESS: ................................................................................................................................................ (1) A corporation or limited liability company must file a certified copy of this certificate with the State Corporation Commission. § 59.1-70. (2) Is this a foreign corporation or a foreign limited liability company? [ ] NO [ ] YES. If YES, indicate the date of the certificate of authority/registration to transact business in the Commonwealth of Virginia issued by the State Corporation Commission: .......................................... ACKNOWLEDGMENT I certify that the foregoing is true and correct to the best of my knowledge and belief. Sole Proprietorship ................................................................................. NAME OF OWNER ___________________________________________ SIGNATURE OF OWNER Partnership Corporation ..................................................................................... NAME OF GENERAL PARTNER ___________________________________________ SIGNATURE OF GENERAL PARTNER ..................................................................................... NAME OF PRESIDENT ___________________________________________ SIGNATURE OF PRESIDENT Limited Liability Company ..................................................................................... NAME OF MEMBER/MANAGER ___________________________________________ SIGNATURE OF MEMBER/MANAGER [ ] City [ ] County of ...................................................................... State of ..................................................................................... Acknowledged, subscribed and sworn to before me this ................................... day of ................................................., 20 ....... . My commission expires ...................................................... _______________________________________________________ [ ] CLERK/DEPUTY CLERK [ ] NOTARY PUBLIC CLERK'S OFFICE Filed in the Clerks' Office of the ................................................................... Circuit Court on .......................................................... DATE ....................................................................................., Clerk by ______________________________________, Deputy Clerk FORM CC-1050 (MASTER, PAGE ONE OF TWO) 12/05 VA. CODE § 59.1-69 American LegalNet, Inc. www.USCourtForms.com STATEMENT OF PARTNERS This is to certify that the below named persons intend to carry on business under an assumed or fictitious name as partners in the [ ] City of [ ] County of ...................................................................................................................., and that the following is a list of every person owning the GENERAL PARTNERSHIP set forth on the front of this certificate. ................................................................................................... PRINTED NAME (LAST, FIRST, MIDDLE) _________________________________________________ SIGNATURE ..................................................................................................................................................................................................................... RESIDENCE ADDRESS [ ] County [ ] City of ............................................................... State of ................................................................................................... Subscribed and acknowledged before me by ...............................................
Link/Embed this Document
URL
Embed


Popular Searches

  1. complaint
  2. power of attorney
  3. JUDGMENT
  4. answer
  5. default judgment
  6. certificate of service
  7. answer to complaint
  8. child support
  9. writ
  10. petition

Bookmark and Share