Fillable Service Nova Scotia NS Application for Registration of

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Service Nova Scotia NS Application for Registration of

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Country of origin: CANADA
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Page 1 of 4
Partnerships and Business Names Registration Act
Application for Registration of a Business Name,
Sole Proprietorship or Partnership in Nova Scotia
Information Please type or print.
Business name:
(postal code)(province)
Business location
in Nova Scotia:
Mailing address
(if different
from above):
(province or state)(town or municipality) (postal code)
(first name and middle initial) (last name)
Attention:
This business name has been in use by the owners since:
(year / month / day)
Clearly describe your
business activities:
Please provide contact information where you can
be reached during business hours:
(te
lephone number)
(E-mail address)
The information in this box will not be made available to the public.
Do you already have a Bus
iness Number (HST/GST number or payroll number)
from the Canada Revenue Agency (CRA)?
If you know what the number is, enter it here:
(CR
A number)
If yes, check box
(apt / suite / unit)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(number and street, PO box, etc.)
N ova S cotia Regis t r y of Joint S tock Compan ies , PO B o x 1529, H alif ax, NS, B3J 2 Y 4
Need help? Contact us at 902-424-7770 (toll-free in NS: 1-800-225-8227) or email at rjsc@novascotia.ca
Rev 01
/21 PF010
Service Nova Scotia
Registry of Joint Stock Companies
NS
Please check to indicate if you prefer to have all correspondence from the Registry of Joint Stock
Companies, including Annual Renewal Notice, directed to the email address indicated below.
Reset
Page 2 of 4
Partnerships and Business Names Registration Act
Application for Registration of a Business Name,
Sole Proprietorship or Partnership in Nova Scotia
Proprietor /Partners All partners in a partnership must be listed.
Proprietor or partner:
(first name and middle initial) (last name)
(year / month / day)
If you are under 19, enter your birthdate
Residential
address:
(postal code)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(province or state)
Partner:
(first name and middle initial) (last name)
(year / month / day)
If you are under 19, enter your birthdate
Residential
address:
(postal code)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(province or state)
Recognized Agent
(postal code)(province)
Mailing address
(if different
from above):
(postal code)(province)(town or municipality)
Recognized agent:
(first name and middle initial) (last name)
Civic address
in Nova Scotia:
writing by the company that the individual has ceased to be the Recognized Agent is
filed with the Registry.
sufficient upon the company, and this appointment shall remain in force until notice in
Agent of any writ, summons, process, notice or other document shall be deemed to be
The Recognized Agent must be resident in Nova Scotia. Service upon the Recognized
appoint an agent. If a business has a Recognized Agent, all correspondence from the
Registry will go to that agent unless the Registry is given written instructions to the contrary.
Sole proprietors who live in Nova Scotia are not required to have an agent. All others must
(apt / suite / unit)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(number and street, PO box, etc.)
N ova S cotia Regis t r y of Joint S tock Compan ies , PO B o x 1529, H alif ax, NS, B3J 2 Y 4
Need help? Contact us at 902-424-7770 (toll-free in NS: 1-800-225-8227) or email at rjsc@novascotia.ca
Rev 01
/21 PF010
Service Nova Scotia
Registry of Joint Stock Companies
NS
NS
NS
Page 3 of 4
Partnerships and Business Names Registration Act
Application for Registration of a Business Name,
Sole Proprietorship or Partnership in Nova Scotia
Proprietor or partner:
(first name and middle initial) (last name)
(year / month / day)
If you are under 19, enter your birthdate
Residential
address:
(postal code)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(province or state)
Partner:
(first name and middle initial) (last name)
(year / month / day)
If you are under 19, enter your birthdate
Residential
address:
(postal code)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(province or state)
Proprietor or partner:
(first name and middle initial) (last name)
(year / month / day)
Residential
address:
(postal code)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(province or state)
Partner:
(first name and middle initial) (last name)
(year / month / day)
If you are under 19, enter your birthdate
Residential
address:
(postal code)
(apt / suite / unit)
(town or municipality)
(civic number and street)
(province or state)
Proprietor /Partners All partners in a partnership must be listed.
Nova Scotia Registry of Joint Stock Companies, PO Box 1529, Halifax, NS, B3J 2Y4
Need help? Contact us at 902-424-7770 (toll-free in NS: 1-800-225-8227) or email at rjsc@novascotia.ca
Rev 01/21
Service Nova Scotia
Registry of Joint Stock Companies
Proprietor /Partners
If you are under 19, enter your birthdate
Page 4 of 4
Partnerships and Business Names Registration Act
Application for Registration of a Business Name,
Sole Proprietorship or Partnership in Nova Scotia
Declaration
Incorporated Partners
Every company listed here must be registered with the Nova Scotia Registry of
Joint Stock Companies.
Incorporated partner:
(name of company)
(type or print)
Name of person signing for the company:*
(position held in company)
(Registry of Joint Stock Companies number)
* Only a Director or an Officer on file with the Registry can sign for a Nova Scotia company. If an Officer,
state the position (for example, Treasurer); if not, put Director.
For office use only
Date filed:
Registry #:
All partners in the business (or the proprietor) must sign this declaration.
I claim that the information on this form is true and authorize any of the government
departments and agencies using the Nova Scotia Business Registry system to access
and use the information on this form for program purposes.
Signatures of proprietor or partners: Date signed:
(print or type name)
(year / month / day)(signatures)
Nova Scotia Registry of Joint Stock Companies, PO Box 1529, Halifax, NS, B3J 2Y4
Need help? Contact us at 902-424-7770 (toll-free in NS: 1-800-225-8227) or email at rjsc@novascotia.ca
Rev 01/21
Service Nova Scotia
Registry of Joint Stock Companies
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Completed 18 February 2021

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