State of North Carolina
Department of the Secretary of State
Invention Developer Submission Form
Please download bond or certificate of deposit files and enclose bond paperwork with a copy of your
company's standard contract for invention developer services and mail to the address below.
ELAINE F. MARSHALL
SECRETARY OF STATE
Invention Developer Liaison
Betty Laws
(919) 814-5400
FAX: (919) 807-2010
Date:
Business Name:
Mailing Address:
Street Address:
Phone Number: FAX Number:
E-mail:
Website:
Surety Company:
Surety Company Address:
PLLP
Corporation Sole ProprietorshipPLLC
PALLC
Are you a...(Please check one):
Are you a business entity authorized to do business in North Carolina?
Yes No
Have you read or do you possess a copy of the N.C. G.S. §66-209 et seq. that relates to Invention Developer
Services in North Carolina? (check one)
Yes
No
N.C. Department of the Secretary of State
Attn: Invention Developer
P.O. Box 29622
Raleigh, NC 27626-0622
blaws@sosnc.gov