Arkansas Corporation Application For Fictitious Name Form
An Arkansas-based entity can legally operate under a name that is different from the one it has registered with the Secretary of State if it has registered the alternative name. To register another business name, the entity’s representative must fulfill this form and send it to the SOS’ office.Download
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APPLICATION FOR FICTITIOUS NAME Select entity type: [ ] For-Profit Corporation ($25.00 fee) [ ] Nonprofit Corporation ($25.00 fee) [ ] General Partnership ($15.00 fee) [ ] Limited Partnership ($15.00 fee) [ ] LLC ($25.00 fee) [ ] LLP ($15.00 fee) [ ] LLLP ($15.00 fee) Pursuant to the provisions of Arkansas law, the undersigned entity hereby applies for the use of a fictitious name and submits herewith the following statement: 1. The fictitious name under which the business is being, or will be, conducted by this entity is: ________________________________________________________________________\ ___ 2. The character of the business being, or to be, conducted under such fictitious name is: ________________________________________________________________________\ ___ 3. a) The entity name of the applicant and its date of qualification in Arkansas: ____________________ ________________________________________________________________________\ ___ b) The entity is [ ] domestic [ ] foreign (state of domestic registration) ________________ c) The location (city and street address) of the registered office of the applicant entity in Arkansas is: ________________________________________________________________________\ __ Street CityStateZIPCode I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or impris- onment up to 30 days. Authorizing Officer _________________________________________________________________ (Type or Print) Authorized Signature: ______________________________________________________________ (Chairman, Partner or other authorized person) Address: ________________________________________________________________________\ _ Fee:see top of page. Make payable to Arkansas Secretary of State. DN-18/F-18/Rev. 4/06 INSTRUCTIONS: File with the Secretary of State's Of fice, Business Services Division, State Capitol, Little Rock, Arkansas 72201-1094. Acopy will be returned to the entity and must be filed with the County Clerk in the coun - ty in which the entity’s registered office is located (unless registered office is in Pulaski County). Arkansas Secretary of State M ark M artin Business & Commercial Services, 250 \bictory Buil\fing, 1401 W. Capitol, Little Rock State Capitol • Little Rock, Arkansas 72201 1094 501 682 3409 • www.sos.arkansas.gov
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