Fictitious Name Registration Form - 2005
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1
2R
C
OBIN
ARNAHAN
J
C. K
C
AMES
IRKPATRICK
S
S
ORPORATIONS
ECRETARY OF
TATE
(573) 751-4153
S
I
C
TATE
NFORMATION
ENTER
S
M
TATE OF
ISSOURI
(573) 751-4936
FICTITIOUS NAME REGISTRATION
THERE IS NO NAME PROTECTION UNDER THE FICTITIOUS NAME ACT (Chapter 417).
TO SECURE PROMPT AND EFFICIENT FILING OF YOUR APPLICATION FOR FICTITIOUS NAME
REGISTRATION, IT IS ESSENTIAL TO COMPLY WITH THE FOLLOWING:
1. Application is to be submitted on forms supplied by the Secretary of State’s Office or filed online at
by selecting “Online Business Services.”
2. A $7.00 filing fee must accompany the application. Please make checks payable to "Director of Revenue".
3. A business name must be given. (Only one business name per registration).
4. A business entity designation (Corporation, Corp., Incorporated, Inc., LC, LP, LLP, LLLP) may not be
included within the business name unless the registration shows ownership by an appropriate business enti-
ty registered in Missouri which is in good standing.
5. A physical business address must be listed. (Only one business address per registration.) A post office box
alone may not be used as an address.
6. Owner(s) must be listed (individual or business entity) along with a physical address for each.
7. Percentage of ownership is not required. If an owner is not jointly and severally liable, however, percentage
of ownership must be listed for each individual and it must total 100%.
8. The registration must be signed by an authorized person.
9. If a business entity is involved in ownership it must be incorporated, registered, or qualified to do business
in Missouri with the Secretary of State and in good standing status.
10. The fictitious name registration expires 5 years after the date filed, unless a renewal filing is submitted
within 6 months prior to expiration.
If you have questions, call or write SECRETARY OF STATE, CORPORATION DIVISION, P.O. BOX 778,
JEFFERSON CITY, MO 65102, TELEPHONE (573) 751-4153 or toll-free at (866) 223-6535.
Ltr. 681 (01/05)
PO B
778 • J
C
, M
• 65102
OX
EFFERSON
ITY
ISSOURI
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