Assumed Business Name Amendment Form Instructions

The instructions are listed in numerical order to align with the form. List the registry number. Be sure to list all information that is being updated.

To review current information, please go to:​.


  2. NEW BUSINESS NAME: (There is a $50.00 fee for name changes.) The registration or presentation of a name does not grant exclusive rights or interests in that name. A name may be available for registration; however, another person may have a prior right to that name, or the name may be very similar to another, and may result in a case of legal action against the registrant for dilution or unfair competition from another person's business.

  3. DESCRIPTION OF THE BUSINESS: A brief description of the business activity.

  4. PRINCIPAL PLACE OF BUSINESS: (Street Address, City, State, Zip) Physical address where the business is located. This address may also be where the business records are kept.

  5. WHO IS AUTHORIZED TO REPRESENT THE OWNERS: (Authorized Representative) (One name only). This is the person who will receive notices. 


  7. A. NAME OF NEW OWNERS (REGISTRANTS) AND ADDRESS THAT IS AVAILABLE PUBLICLY: Indicate the name and address of all owners (individual or entity) who will carry out business operations or carry out business activity under the assumed business name. B. NAME OF WITHDRAWING OWNERS (REGISTRANTS) AND ADDRESS THAT IS AVAILABLE PUBLICLY:  This is the name of any owners who no longer own the business.

  8. CURRENT REGISTRANTS/OWNERS ADDRESS CHANGE ONLY: Use this section to update the physical street address of current owners.

  9. COUNTIES: Select the counties in which you want to register the name.

  10. SIGNATURE(S): New Registrants must sign. If any Registrants are WITHDRAWING, withdrawing Registrants or Authorized Representative must sign.  Declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, or otherwise misrepresent the identity of any person including officers, directors, employees, members, managers or agents.  This filing has been examined and is, to the best of your knowledge and belief, true, correct and complete.  Making false statements in this document is against the law and may be penalized by fines, imprisonment, or both.​​​​

​​​​Download the form: Assumed Business Name - Amendment​
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