USVI Trade Name Authorization Letter Form Instructions: To claim ownership or filing privileges for trade name registrations processed with the Division of Corporations and Trademarks prior to August 31, 2018, an individual who is legally entitled to represent and submit filings for those registrations must complete this form. Complete only Section 1, 2 or 3. TODAY’S DATE: ___________ Section 1: For Owner Types: Sole Proprietorship or Partnership Trade Name: ___________________________________________________________________________________ Your Name: ____________________________________________________________________________________ Owner Type: ___________________________________________________________________________________ Signature: ______________________________________________________________________________________ If you are not an owner of the trade name, complete the Authorized Persons section below. Section 2: For Business Owner Types: Corporations, Non-Profits, LLC, LP/LLLP, and LLP Trade Name: ____________________________________________________________________________________ Business Name (Owner): __________________________________________________________________________ Your Name: _____________________________________________________________________________________ Business Organizational Role (Member, Officer, etc.): ___________________________________________________ Signature: ______________________________________________________________________________________ If you are not an owner of the trade name, complete the Authorized Persons section below. Section 3: Other Authorized Persons for Trade Name Registrations For any other individual granted filing rights over a trade name registration, complete this section. This section shall be used by a Resident Agent, Attorney in Fact, or Accountant, for example. Trade Name: ____________________________________________________________________________________ Your Name (Authorized Person): ____________________________________________________________________ Authorized Person’s Relationship to Business: _________________________________________________________ Business Name (Owner): ___________________________________________________________________________ Name of Business Representative Confirming Authorization: _____________________________________________ Role of Business Representative (I.e., Organizer, Officer Position, etc.): _____________________________________ ________________________________________________________________________________________________ Signature of Business Representative: _______________________________________________________________ Date of Signature: _____________