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TRANSFER OF TRADE NAME REPORT
TO: OKLAHOMA SECRETARY OF STATE 2300 N. Lincoln Blvd., Room 101, State Capitol Building Oklahoma City, Oklahoma 73105-4897 (405) 521-3912
The undersigned "business entities" hereby submit the following transfer of trade name report pursuant to Title 18, Oklahoma Statutes, Section 1140.2:
1.
The name of the trade name which is to be transferred:
2.
The legal name of the business entity currently holding the trade name:
3.
The legal name of the business entity "Recipient" to which the trade name is being transferred:
4. The type of "Business Entity" to which the trade name is being transferred: (Please Note: "BUSINESS ENTITY" means a corporation, a business trust, a common law trust, a limited liability company, or any unincorporated business, including any form of partnership.) 5. The recipient of the trade name was formed in the State/Country of:
6. The recipient of the trade name is carrying on business under such trade name at the following address(es):
I/we, being duly authorized to sign on behalf of the business entity transferring the trade name, hereby execute this report on the day of , .
Signature (List title, if applicable
Signature ) (List title, if applicable )
(Type or Print Name)
(Type or Print Name)
I/we, being duly authorized to sign on behalf of the recipient to which the trade name is being transferred, day of , . hereby execute this report on the
Signature (List title, if applicable
)
Signature (List title, if applicable
)
(Type or Print Name)
(Type or Print Name)
(SOS FORM 0016-12/01)