Non-Refundable Processing Fee: [ ] New Filing $22.00
WARNING: The filing of this name does not guarantee exclusive right to nor protection against unauthorized use of this
name (U.C.A. Sections 16-15-103). When approved, your Business Trust is registered for 3 years. The last words of the
business name must be "BUSINESS TRUST".
Business Name:
Duration:
Nature of Business:
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________________________________________________________________________
________________________________________________________________________
City: ____________________________________________ State: __________ Zip: _______________
Who/What is the name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent)?:
______________________________________________________________________________________________
The address must be listed if you have a non-commercial registered agent. See instructions for further details.
Address of the Registered Agent: _________________________________________________________________
Utah Street Address Required, PO Boxes can be listed after the Street Address
City: State UT Zip:
Authorized Trustee:
List the individual or business
entity that will act as the
Trustee for on the name line.
Name: _________________________________________________________________________________
Entity Number (if a registered business): _____________________________________________________
Address: ______________________________________________________________________________
City: ____________________________________________________ State: ________ Zip: ____________
Under penalties of perjury, I declare that this Business Trust Application has been examined by me and is, to the
best of my knowledge and belief, true, correct and complete.
Signature:
Authorized Trustee:
List the individual or business
entity that will act as the
Trustee for on the name line.
Name: _______________________________________________________________________________
Entity Number (if a registered business): ____________________________________________________
Address: _____________________________________________________________________________
City: _____________________________________________________ State: _______ Zip: ___________
_
Under penalties of perjury, I declare that this Business Trust Application has been examined by me and is, to the
best of my knowledge and belief, true, correct and complete.
Signature:
IF NEEDED, YOU MAY USE AN ATTACHED SHEET FOR ADDITIONAL TRUSTEES
Under GRAMA {63G-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may
use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Optional Inclusion of Ownership Information: This information is not required.
Is this a female owned business? Yes No
Is this a minority owned business? Yes No If yes, please specify:
State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Business Trust Certificate of Registration
This form cannot be hand written.
What is a commercial registered agent?
Authorized Trustee must sign this form after it is printed
Authorized Trustee must sign this form after it is printed
Select/Type the race of the owner here
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
