USVI Public Records

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(For use by sole proprietors, partnerships or associations of individuals other than corporations) Daytime Telephone No. ________________________ CERTIFICATE For Registration of Trade Name under Title 11, Chapter 21 of the Virgin Islands Code -----o----- To: The Lieutenant Governor of the Virgin Islands TERRITORY OF THE VIRGIN ISLANDS JUDICIAL DISTRICT OF ST.____________________________ The undersigned parties, comprising a co-partnership or an association of individuals other than a corporation conducting or intending to conduct a business in the Virgin Islands, hereby request that the trade name set forth below, under which such business shall be conducted, be registered in accordance with the provisions of Chapter 21, Title 11 of the Virgin Islands Code, and we certify the following: Print Trade Name: ______________________________________________________________________ Print Nature of Business: ________________________________________________________________ Print Location of Business: ________________________________________________________________ True and real names of all parties conducting or having an interest in the business P.O. Box Address Print __________________________________________ _____________________________________ __________________________________________ _____________________________________ __________________________________________ _____________________________________ __________________________________________ _____________________________________ __________________________________________ _____________________________________ __________________________________________ _____________________________________ (Partners or members of the association, residing in the Virgin Islands sign below. Non-resident partners or members sign on reverse side of this form.) Sign _______________________________________ _____________________________________ _______________________________________ _____________________________________ _______________________________________ _____________________________________ Subscribed and sworn to before me this ________ day of ________________________ _______. ___________________________________ *Registered Tradenames must be renewed every 2 years. Notary Public (Over) Non-Resident partners or members of association sign below: STATE OF _____________________________________________ ) COUNTRY OF __________________________________________ ) The undersigned, non-resident of the Virgin Islands, doing business in the Virgin Islands as partner or member in the firm under the trade name _________________________________________ ________________________________________ hereby subscribes to the certificate on the reserve side of this form, and appoints _________________________________________________________ a person residing and having an office or place of business located at ___________________________ __________________________________________________________________________________ as his agent upon whom process against the undersigned may be served in an action founded upon a liability incurred in the Virgin Islands. ______________________________________________ Signature Subscribed and sworn to before me this _______ day of _____________________, _________. ______________________________________________ Notary Public STATE OF _____________________________________________ ) COUNTRY OF __________________________________________ ) The undersigned, non-resident of the Virgin Islands, doing business in the Virgin Islands as partner or member in the firm under the trade name _________________________________________ ________________________________________ hereby subscribes to the certificate on the reserve side of this form, and appoints _________________________________________________________ a person residing and having an office or place of business located at ___________________________ __________________________________________________________________________________ as his agent upon whom process against the undersigned may be served in an action founded upon a liability incurred in the Virgin Islands. ______________________________________________ Signature Subscribed and sworn to before me this _______ day of _____________________, _________. ______________________________________________ Notary Public Certificate of county clerk or similar officer must accompany the notary’s acknowledgment. Section 1204, Title 11 of the Virgin Islands Code provides: “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 Virgin Islands.” A fee of $25.00 must accompany two originally executed certificates. If the certificates are mailed, attach a money order or check payable to the “Government of the Virgin Islands”, but address the envelop to “Office of the Lieutenant Governor, Division of Corporation and Trademarks, Kongens Gade No. 5049, St. Thomas, VI 00802”.