Free Assignment of Trade Name - Wyoming

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Assignment of Trade Name Registration
1. I,
(Name of assignor)

At the address of:

2. Has adopted, used and is using the trade name:

3. Trade name is registered with the Secretary of State, Registration Number is: 4. I hereby assign said trade name and registration thereof to:

(Name of assignee)

At the address of:

Date:
(mm/dd/yyyy)

Assignor Signature: ___________________________________ Print Name:

Contact Person: Daytime Phone Number: Checklist Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.

TN-Assignment - Revised 12/2008