|
|
Dba / Assumed / Fictitious Name Filing
|
|
|
LOGIN INFORMATION |
Please Fill up the Information Required for your future Login and check the order status. If you already have the login information for Infotax then please type your existing email and password. |
Email*: |
|
Password*: |
|
|
PLEASE SELECT |
Entity Type:Please select the Entity Type: Sole Proprietor, Partnership, S-Corporation, Corporation
Single Member LLC, Multi-Member LLC.
Select State:Please indicate the State in which you would like to register your DBA / Assumed
or fictious name. Important: If you have an existing CORPORATION/LLC and wish to file DBA in a state
other than your home state, First "FOREIGN QUALIFY" the CORPORATION/LLC in order to file the DBA. Pelase
contact our officetoll-free at 1-866-754-4460 for further assistance.
|
Select State*: |
|
Select County*: |
|
Type of Entity*: |
|
|
ORDER INFORMATION |
|
PLEASE SELECT SUBSCRIPTION TYPE |
Subscription Type: |
New Subscription
Re-new Existing Subscription
|
|
CONTACT INFORMATION (This is where we will ship your documents) |
First Name*: |
|
Last Name*: |
|
Address*: |
|
Suite/Apt: |
|
City*: |
|
State*: |
|
Zip*: |
(99999) OR (99999-9999)
|
Phone*: |
|
Fax: |
|
|
BUSINESS OVERVIEW
|
Name of Entity:Please enter the company name exactly as it appears on your
state-approved formation documents.
State of Formation:Please indicate your home state in which you are organized or incorporated.
Date of Formation:Please enter the exact date your entity was formed, the date
should be exactly as it appears on your state approved formation documents.
Brief Business Description:Please provide a business description that briefly describes the
principal business activity. A single sentence or two is all that is required.
Please indicate the County in which you would like to register your DBA. -- Select County --
Please select DBA County.
|
|
Brief Business Description*: |
|
|
|
OWNERS' INFORMATION |
OWNER 1 |
|
Copy from Contact Information if same |
Full Name*: |
|
Social Security Number*: |
(999-99-9999) |
Date of Birth: |
(mm/dd/yyyy)
For State of UT only
|
Residence Address*: |
|
City*: |
|
State*: |
|
Zip*: |
(99999) OR (99999-9999) |
|
PAYMENT INFORMATION |
|
Same as Contact Information
|
First Name*: |
|
Last Name*: |
|
Billing Address*: |
|
City*: |
|
State*: |
|
Zip*: |
(99999) OR (99999-9999)
|
Phone*: |
|
Fax: |
|
Card Type*: |
|
Expiration Date*: |
|
Card Number*: |
|
Card Security Code*:
|
|
Please use the security code as follow:
1. Master Card- Please insert 3 digits security code from the back of the card
2. Visa Card- Please insert 3 digits security code from the back of the card
3. Discover Card- Please insert 3 digits security code from the back of the card
4. American Express- Please insert 4 digits security code from the front of American Express
For any help we can be contacted at +1 (866)754 4460
|
Country: |
|
|
|
General Comments / Instructions |
|
|
TERMS OF USE AGREEMENT & DISCLAIMER |
Yes, I have read and accept the above terms and condition. (Please Select before submitting the form)
Yes
No
Do you want to subscribe to notify you for Filing Deadlines & create a Free Business Listing in our Business Directory?
Terms of Use
Disclaimer
Privacy Policy
|
|