TRADE NAME
REPORT
Filing Fee: $25.00
TO: OKLAHOMA SECRETARY OF STATE
421 NW 13th St, Suite #210
Oklahoma City, OK 73103
(405) 522-2520
I hereby execute the following trade name report in order for a business entity to do business in Oklahoma
under a name other than its legal name pursuant to the provisions of Title 18, Section 1140:
1. 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 stated within article #4 below.
2. Address(es) where business is being carried on under the trade name:
3. Brief description of the kind of business being transacted under the trade name:
4. Legal name of the "business entity" doing business under the trade name:
As used in this section: “Business entity” means a corporation, a business trust, a common law trust, a limited liability
company, or any unincorporated business, including any form of partnership. An unincorporated business may include
an individual doing business under a trade name. In this case, the legal name would be the individual’s legal name.
5. Type of "business entity" filing the trade name report: (check one of the following)
corporation business trust common law trust
limited liability company unincorporated business partnership
6. State or jurisdiction where the “business entity” was formed:
(SOS FORM 0021-08/21)
COMPLETE ONLY THE ACKNOWLEGEMENT SECTION WHICH APPLIES TO THE
BUSINESS ENTITY FILING THIS TRADE NAME REPORT.
BUSINESS ENTITY ACKNOWLEDGEMENT
(Limited Liability Companies, Business Trusts, Unincorporated
Businesses, Common Law Trusts, or Partnerships)
• Signed this day of , by:
Signature Signature
Printed Name Printed Name
Title Title
CORPORATION ACKNOWLEDGEMENT
Signed this day of , by:
Signature
Printed Name and Title
(SOS FORM 0021-08/21)
Oklahoma Secretary of State
Request to receive
documents electronically
No need to wait on your filed documents to be mailed back to you. If you would like your filed
documents returned electronically, please complete and attach this form to your documents.
Complete ALL information below to receive an email which will contain a link to retrieve your
filed documents. (Please print or type clearly.)
Return filed documents electronically
Receipt will read as follows:
PERSONAL or BUSINESS NAME:
MAILING ADDRESS:
CITY, STATE & ZIP CODE:
PHONE OR CELL:
EMAIL ADDRESS:
(It is critical that the email address is correct, or you may not receive the notification of filing)