DBA FILING, TRADE NAME, COMPANY NAME, FICTITIOUS BUSINESS NAME, ASSUMED NAME DBA (DOING
BUSINESS AS) |
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How Did You Find Us?
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What Search Word (s) did you use?
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*C
o u n- t- y
Business is Located in |
NOT
"Count-R-y")
>>>>
Make sure that this is the county that your business is
located in - it is very important and it is hard to figure
out if your business is located in the borders of
another county |
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Email * |
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*Please
Note:
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We may need to contact you so we can pick up the signed
document - so please provide this contact info. |
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*Enter email again |
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*Cell
Phone or
phone we can reach you |
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*From
what address can we pick up the document? |
Pick Up Doc From Business Address |
Other Address: Enter Below
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Pick Up Doc From Business Address
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*Fax,
if available |
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*First and Last Name |
on
Credit Card
*for
order tracking purposes. |
I.e., Name on the Credit Card you going to use
to buy this service |
*When Did
Business Started? |
Not Started Yet? Click Here |
* Give Best Estimate..
Do
not give future dates |
*Type of Ownership:
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Select the type of entity that most accurately describes
your business' legal structure. |
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DBA Doing Business
As
Business Name
you Want Registered:
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-
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Business Street Address* |
(
NO P.O.
Box here) |
(P.O. Box
not
acceptable)
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City |
City |
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State & Zip
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State
Zip
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Owner's Name:
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Who is filing
the legal document?* |
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Residence Phone |
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Business Phone |
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Fax: |
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*IF
CORPORATION,
complete the next
questions
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IF
NOT
A CORPORATION
OR LLC,
CLICK HERE
TO SKIP THIS SECTION |
*IF
CORPORATION,
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Name of
principal officer
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Owner, President, Treasurer, Secretary, general partner, grantor, or
trustor. |
*IF
CORPORATION,
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Corporation Certificate Number
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IIf a corporation, please provide the corporation's state identification number |
*IF
CORPORATION,
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State
incorporated
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Why Do You Apply
for These Legal Document(s)?
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Number of employees
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expected
in the next 12 months.
Note: If the applicant does not
expect to have any employees during the
period, enter "-0-." |
Type
of Business* |
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Please Specify Type of Business Activity: |
BE SPECIFIC!!!
ABSOLUTELY NECESSARY!! |
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Example: Selling widgets or computer
consulting -
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Principal type of products sold; work done;
products produced; or services provided.* |
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BE SPECIFIC!!!
ABSOLUTELY NECESSARY!! |
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AGREEMENT:
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I understand and agree that
*You
will be charged an administrative
fee of 15% (minimum $15 and maximum $50) if you
cancel your order FOR ANY REASON.
*
NO
REFUNDS AFTER WE SEND YOU THE COMPETED FORMS BY
EMAIL:
There will be
no refund After we Email you the
completed Form. I.e., After you purchase
the service, submit this form and we
complete and send you the completed form by
email.
*
NOT
LEGAL ADVICE: Neither xkr essex, inc., nor any of
its employees or agents have provided you with any
professional or legal advice.
* YOU AUTHORIZE US:
You authorize the
agents at
Xkr
Essex, Inc.
to obtain the legal documents - tax ids, and business
licenses on your behalf.
By Typing my
name / Signing Below, I Agree and Understand with
all the above terms, conditions, and
statements
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