Free DN-18-F-18 - Arkansas

File Size: 194.1 kB
Pages: 1
Date: May 24, 2007
File Format: PDF
State: Arkansas
Category: Corporations
Author: Administrator
Word Count: 302 Words, 2,423 Characters
Page Size: Letter (8 1/2" x 11")

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Arkansas Secre t a ry of State
Charlie Daniels
State Capitol Little Rock, Arkansas 72201-1094 501-682-3409

Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock

INSTRUCTIONS: File with the Secretary of State's Office, Business Services Division, State Capitol, Little Rock, Arkansas 72201-1094. A copy will be returned to the entity and must be filed with the County Clerk in the county in which the entity's registered office is located (unless registered office is in Pulaski County).

Select entity type: [ [ [ [ ] For-Profit Corporation ($25.00 fee) ] General Partnership ($15.00 fee) ] LLC ($25.00 fee) ] LLLP ($15.00 fee) [ [ [ ] Nonprofit Corporation ($25.00 fee) ] Limited Partnership ($15.00 fee) ] LLP ($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 City State ZIP Code

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 imprisonment 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