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# ____________________________
CERTIFICATE OF TRADE NAME
MIDDLESEX COUNTY, NJ
Please Print or Type Clearly

THE UNDERSIGNED HEREBY CERTIFIES THE FOLLOWING:
1. THE NAME UNDER WHICH THE UNDERSIGNED IS ABOUT TO TRANSACT BUSINESS.
2. THE LOCATION WHERE THE SAID BUSINESS WILL BE CONDUCTED.
3. THE TYPE OF BUSINESS TO BE CONDUCTED BY THE UNDERSIGNED.
4. THE FULL NAME(S) AND ADDRESSES OF EACH PERSON(S) CONNECTED WITH THE SAID BUSINESS OWNER(S).

BUSINESS INFORMATION

 Trade Name: ________________________________________________________________________________ 

 Business Address:___________________________________________________________________________
 
 Town: Zip Code:_____________________________________________________________________________
 
Description of Business:_______________________________________________________________________
 
 OWNER(S) INFORMATION
 
(Do Not Sign Or Take The Oath Until in the Presence of a Notary Public)
 
            Owner #1 Name:  __________________________________________________                  
 
            Residence:   ______________________________________________________             
 
            City/State/Zip:  ____________________________________________________         
 
            Signature: ________________________________________________________       
         
 
            Owner #2 Name:  __________________________________________________                  
 
            Residence:   ______________________________________________________             
 
            City/State/Zip: _____________________________________________________          
 
            Signature:_________________________________________________________     
           
 
            Owner #3 Name:  ___________________________________________________                  
 
            Residence:  ________________________________________________________              
 
            City/State/Zip: ______________________________________________________          
 
            Signature: __________________________________________________________       
         
 
            Owner #4 Name:  ____________________________________________________                
 
            Residence: __________________________________________________________               
 
            City/State/Zip:  _______________________________________________________         
 
            Signature:  __________________________________________________________               
 
To be completed only if any of the owner(s) live out of state:
 We do hereby appoint the County Clerk of the County of Middlesex, in the State of New Jersey, and her successors in office, our attorney in fact, upon whom may be served all process affecting the aforesaid business and trade name.
____________________________________________________________________________________________________________
And we do further agree that any process against the aforesaid County Clerk so served, shall be of the same effect as if duly served upon us within this State.
 
STATE OF NEW JERSEY
COUNTY OF MIDDLESEX
Being duly sworn, say that all of the above person(s) named in the foregoing certificate swore before me that the statements contained therein are true, accurate and complete. Subscribed and sworn to before me this
 
______________  day of_____________________________ , 20 _____ .
 
______________________________________________________
Notary Public
 
You may want to consult an Attorney for guidance and direction in these matters.                      
N.J.S.A. 56-1-1
 
 
 
 

Please make check payable to: Middlesex County Clerk
Fees
(Registering a New Business Trade Name Certificate)
$50.00 for mail in that is notarized. (4 copies with original signatures)
$58.00 if filed at County Clerk’s Office which includes the notarization.
Copy  is $2.00.
Certified Copy is $12.00.
 
Middlesex County Clerk
P.O. Box 1110
New Brunswick, NJ 08903-1110
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