The Business Names Registration Act Registration of a Saskatchewan Business Name

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1 The s Registration Act Section 1: Entity Details Has the business name expired or been cancelled by the Corporate Registry in the last 90 days? Yes Entity Number: No Name Reservation Number: Entity Type select one (1): Sole Proprietorship Joint Venture Partnership Syndicate Name Conditions (if applicable): If conditions were applied in the name reservation, signed name conditions forms must be enclosed with this form. Section 2: Addresses The physical address cannot be a post office box. Rural locations must use legal land descriptions, including R.M. names and numbers, or civic addresses. Primary Business Physical Address Business Mailing Address Same as primary business physical address Street Address 1: Street Address 1:

2 The s Registration Act Attention to (optional ): Mailing Address (if different from entity name): Other Physical Business Addresses If there are more than three (3), please photocopy this page before proceeding, or attach an additional page. Street Address 1: Street Address 2: Street Address 3: Street Address 1: Street Address 2: Street Address 3: Street Address 1: Street Address 2: Street Address 3:

3 The s Registration Act Section 3: Proprietor / Partner Details If the business name is a sole proprietorship, only one (1) proprietor is permitted. If the business name is a partnership, joint venture or syndicate, there must be two (2) or more partners. If there are more than three (3) partners, please photocopy this page before proceeding, or attach an additional page. A Power of Attorney form must be submitted to add a power of attorney if any of the following apply: The proprietor is an individual or trust and doesn t have a physical address in Saskatchewan. The partners are all individuals or trusts and none of the partners have physical addresses in Saskatchewan. A power of attorney is not permitted if the proprietor or any of the partners has a Saskatchewan address. The physical address cannot be a post office box. Rural locations must use legal land descriptions, including R.M. names and numbers, or civic address. Proprietor / Partner 1 Proprietor / Partner Type select one (1): Individual Trust Body Corporate Entity Number: Limited Partnership Entity Number: Indian Band Entity Number: Physical Address (for individual or trust only) Mailing Address (for individual or trust only) Same as physical address

4 Street Address 1: Street Address 1: The s Registration Act Partner 2 Partner Type select one (1): Individual Trust Body Corporate Entity Number: Limited Partnership Entity Number: Indian Band Entity Number: Physical Address (for individual or trust only) Mailing Address (for individual or trust only) Same as physical address Street Address 1: Street Address 1:

5 The s Registration Act Partner 3 Partner Type select one (1): Individual Trust Body Corporate Entity Number: Limited Partnership Entity Number: Indian Band Entity Number: Physical Address (for individual or trust only) Mailing Address (for individual or trust only) Same as physical address Street Address 1: Street Address 1:

6 The s Registration Act Section 4: Registration Date Unless a future date is specified below, the date the properly completed forms and required fees are received will be considered the registration date. Registration Date: Section 5: Signature I certify that: If the entity is a partnership, any individuals who are listed as partners are 18 years of age or older. I am authorized to file these documents with the registrar. The information in this submission is true. Submitter Signature Date Section 6: Submitter Information Mailing Address: Phone Number: Fax Number:

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