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Notice of Change of Ownership (Ohio)

This form is notice of change of ownership. The form provided here is simply a basic structure for the actual form you will fill in to change ownership.

Prescribed by J. Kenneth Blackwell
Please obtain fee amount and mailing instructions from the Forms Inventory List (using the 3 digit form # located at the bottom of this form). To obtain the Forms Inventory List or for assistance, please call Customer Service: Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)

NOTICE OF CHANGE OF OWNERSHIP OF:

___ Fictitious Name

___ Mark of Ownership

___ Service Mark

___ Trade Mark

___ Trade Name

Name: _____________________________________

Registration no.: ____________________________________

Date of Original Registration: ____________________________________

Date of First Use: ____________________________________


___ Change of ownership has occurred by:

___ Change of ownership through a Certificate of Merger

___ Change of owner's name through a Certificate of Merger

___ Change of owner's name through a Certificate of Amendment/Correction or Certificate of Amended/Restated Articles

___ Change of owner's name through a Foreign Certificate of Amendment

New name of owner, having Charter/License/Registration no. ______________________ is:

____________________________________ (street address)

____________________________________ (city, township, or village)

____________________________________ (county)

_______________________ (state)

_______________________ (zip code)

IN WITNESS WHEREOF, the undersigned owner has executed this Notification of Change of Ownership on ______________________

Signature: ________________________________________ Owner, Registrant, or General Partner)

Name: _____________________________________

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