Certificate of Ownership of A Business: For Additional Owners, Please Complete The Back
Certificate of Ownership of A Business: For Additional Owners, Please Complete The Back
Certificate of Ownership of A Business: For Additional Owners, Please Complete The Back
GARY A. KING
DU PAGE COUNTY CLERK
P.O. BOX 1028
421 North County Farm Road
Wheaton, Illinois 60187
(630) 407-5500
NAME OF BUSINESS
ADDRESS OF BUSINESS
CITY, STATE & ZIP
NATURE OF BUSINESS
TELEPHONE NUMBER
The following is a true and full report of the names and addresses of all persons owning, conducting or transacting
the business named above.
NAME OF PERSON(S)
HOME ADDRESS
% OWNERSHIP
STATE OF ILLINOIS )
)SS
COUNTY OF DU PAGE)
I,
, being duly sworn upon oath, deposes and says that the
foregoing is a true and correct report of the real, full, name or names of the person or persons owning, conducting or
transacting the above-named business, with post office address or addresses.
Signed
Signed and sworn to (or affirmed) by _________________________________ before me on this_______ day
of ___________________ A.D. 20 ___.
Fee $10.00
Upon filing this Certificate, it will be assigned a number. You will be given instructions on how to proceed with legal
publication, as required by law.
STATE OF ILLINOIS
)
)SS
COUNTY OF DU PAGE)
I,
, being duly sworn upon oath, deposes and says that the
foregoing is a true and correct report of the real, full, name or names of the person or persons owning, conducting or
transacting the above-named business, with post office address or addresses.
Signed
STATE OF ILLINOIS )
)SS
COUNTY OF DU PAGE)
I,
, being duly sworn upon oath, deposes and says that the
foregoing is a true and correct report of the real, full, name or names of the person or persons owning, conducting or
transacting the above-named business, with post office address or addresses.
Signed
STATE OF ILLINOIS )
)SS
COUNTY OF DU PAGE)
I,
, being duly sworn upon oath, deposes and says that the
foregoing is a true and correct report of the real, full, name or names of the person or persons owning, conducting or
transacting the above-named business, with post office address or addresses.
Signed