THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF CORPORATIONS AND TRADEMARKS APPLICATION FOR REGISTRATION OF A TRADE NAME UNDER A CORPORATION – TNC12 • A corporation cannot deceptively or falsely suggest that the organization, so denoted, is of a charitable or non-profit nature when the organization is, in fact, of a profit making nature. • A trade name is not considered registered unless and until you are in receipt of the certified Certificate of Trade Name is issued by this office. You are cautioned against relying on an unofficial representation. The Office of the Lieutenant Governor nor the Division of Corporations and Trademarks shall not be held responsible for any costs incurred as a result of a client moving forward without proper registration. • The Director reserves the right to reject any application for registration. • This form is for use by corporations only. • This form cannot be used for sole proprietorships, partnerships, limited liability companies, limited partnerships, limited liability partnerships, limited liability limited partnerships. • This form must be completed in its entirety. Failure to do so will result in the rejection of the application document. • One (1) original application, with original signature(s) and original notary authentication must be submitted. • The application must be submitted free of obliterated text (no strike through marks, no corrective fluid/tape). Evidence of obliteration will result in the rejection of the application document. • A trade name registered in accordance with the provisions of V.I.C. title 11, Chapter 21, shall not be the same as nor so similar as to cause confusion with the trade name of any person, partnership, association or corporation, foreign or domestic, doing business under such trade name in the United States Virgin Islands. This office will make that determination. • A fee of $25 must accompany the application. If the application is mailed, be certain to include a check or money order payable to the GOVERNMENT OF THE VIRGIN ISLANDS. The envelope must be addressed to THE OFFICE OF THE LIEUTENANT GOVERNOR – DIVISION OF CORPORATIONS AND TRADEMARKS; 5049 KONGENS GADE; ST. THOMAS, VIRGIN ISLANDS 00802. • A fee of $250.00 guarantees 24-hour processing of this application document. • All trade name registrations must be renewed bi-annually (every two (2) years), on the anniversary of original registration, at a fee of $50.00. Failure to do so will result in the cancellation of the registration. 5049 Kongens Gade Charlotte Amalie, Virgin Islands 00802 Phone - 340.776.8515 Fax - 340.776.4612 1105 King Street Christiansted, Virgin Islands 00820 Phone - 340.773.6449 Fax - 340.773.0330 FORM - TNC12 THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF CORPORATIONS AND TRADEMARKS APPLICATION FOR REGISTRATION OF TRADE NAME UNDER A CORPORATION VIRGIN ISLANDS CODE – TITLE 11 – CHAPTER 21 LAST NAME OF THE PRESIDENT/VICE PRESIDENT FIRST NAME OF THE PRESIDENT/VICE PRESIDENT MAILING ADDRESS EMAIL ADDRESS BEST DAYTIME CONTACT NUMBER(S)/CELL PHONE TERRITORY or STATE OF ________________________________________________________ ) JUDICIAL DISTRICT or COUNTY OF ________________________________________________________ ) THIS IS TO CERTIFY THAT ________________________________________________________________________________________________ a corporation, the principal office of which is located at ________________________________________________________________ ______________________________________________________________________________________________________________________, is doing, or intends to do business, in the United States Virgin Islands, and that this business is known, or is to be known, by the designation, name or style of ___________________________________________________________________________________ and that said business is located at __________________________________________________________________________________. The kind of business to be transacted under said name is _______________________________________________________________. IN WITNESS WHEREOF, THE SAID CORPORATION _________________________________________________________________________ has to these presents, affixed its corporate seal and caused the same to be subscribed and acknowledged by its ________________________________________________ and ______________________________________________ at the city of ____________________________________________ in the state (district) of _____________________________________ on the ______________ day of _________________________________, __________. ________________________________________________________________ Corporation ____________________________________________________ __________________________________________________ President or Vice President Secretary or Assistant Secretary ACKNOWLEDGEMENT TERRITORY OF THE VIRGIN ISLANDS ____________________________________ ) JUDICIAL DISTRICT OF _________________________________________________ ) On this, the _______ day of __________________, _______, before me, the undersigned officer, ____________________________________________________ personally appeared who acknowledged himself/herself to be the President or Vice President _____________________________________________________, a Corporation, and that he/she as such is authorized to do so, executed the foregoing instrument for the purpose therein contained by signing his/her name of the corporation by himself/herself as ______________________________________________________. IN WITNESS WHEREOF, I hereto set my hand and official seal. ____________________________________________________ Notary Public ________________________________ My Commission Expires FOR OFFICIAL USE ONLY DATE RECEIVED RECEIVED BY PAYMENT AMOUNT RECEIVED PAYMENT TYPE RECEIPT NO. BY AFFIXING MY SIGNATURE, I DECLARE, UNDER PENALTY OF PERJURY, UNDER THE LAWS OF THE UNITED STATES VIRGIN ISLANDS, THAT ALL STATEMENTS CONTAINED IN THIS APPLICATION, AND ANY ACCOMPANYING DOCUMENTS, ARE TRUE AND CORRECT, WITH FULL KNOWLEDGE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE SUBJECT TO INVESTIGATION AND THAT ANY FALSE OR DISHONEST ANSWER TO ANY QUESTION MAY BE GROUNDS FOR DENIAL OR SUBSEQUENT REVOCATION OF REGISTRATION. AFFIX CORPORATE SEAL HERE