Declaration of Trade Name - Thor Insurance & Registries

Contact Information:

Requested By*

Email*

Phone

Fax

Required Form Information:

I,

Name of Declarant*

of

Declarant's Resident Address in Full*

Declare that:

1. I have been carrying on or intend to carry on the business of

Type of Business*

in

Location of Business (City, Town, Village)*

, in the Province of Alberta, under the name

Trade / Business Name*

Use of this name commenced on*

2. No other person or persons are associated in partnership with me in this business.

Name of Declarant*

Date of Declaration*

Occupation*

Valid Identification Type & Number*

This information is being collected for the purposes of corporate registry records in accordance with the Business Corporations Act. Questions about the collection of this information can be directed to the Freedom of Information and Protection of Privacy Coordinator for Alberta Registries, Box 3140, Edmonton, Alberta T5J 2G7, (780) 427-7013.

REG 3018 (Rev. 2003/05)

Upload Supporting Document (if any):

Max. file size: 128 MB.

Declaration of Trade Name

Price:

Comments

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