TRADE NAME CERTIFICATE
(Note: Required by § 35-1 of Connecticut General Statutes, a Trade Name Certificate is for the purpose of identifying those doing business in the
state under a fictitious Trade Name, i.e. for consumer protection purposes. A Trade Name Certificate does not protect that name from use by
someone else. The penalty for failure to file a Trade Name Certificate is $500.00
)
To the Town Clerk of the City of Danbury:
_________________________________________is/are conducting and transacting business in
said City of Danbury under the full-assumed name of:
_______________________________________________________________________
Business address is:
_______________________________________________________________________
The telephone number is (____)______________________________________________
Nature of Business ________________________________________________________
The full name of every person conducting or transacting said business, together with the address
of each of said persons is as follows:
Name_______________________________________________________________________
Address_______________________________________________________________
Signature______________________________________________________________
Name_______________________________________________________________________
Address_______________________________________________________________
Signature______________________________________________________________
Name_______________________________________________________________________
Address_______________________________________________________________
Signature______________________________________________________________
State of Conncticut
} ss: Danbury
County of Fairfield
On this ______day of ___________________, 20____ before me, the undersigned officer,
personally appeared ________________________________________________________
known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to
within said instrument and who swore to the truthfulness of the foregoing certificate and
acknowledged that he/she executed the same for the purposes therein contained.
_______________________________________
Notary Public
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