Trade Name Questionnaire

Contact Information (Fields with * are required)

Personal or Business Name:

Mailing Address:

City, State & Zip Code:

Phone or Cell number:

Email Address: *

Trade Name

Trade name under which the business is carried on in Oklahoma:

The trade name or d/b/a name must be different than the legal name.

Address(es) where business is being carried on under the trade name:

Brief description of the kind of business being transacted under the trade name:

Legal name of the Business Entity doing business under the trade name:

Type of Business Entity filing the trade name report:

Check one of the following

corporation

limited liability company

business trust

unincorporated business

common law trust

partnership

State or jurisdiction where the Business Entity was formed: