Anne B. Norlander
Calhoun County Clerk and Register of Deeds
315 W. Green St.
Marshall, MI 49068
Phone: (269) 781-0730

APPLICATION FOR A CERTIFIED COPY OF AN ASSUMED
NAME CERTIFICATE [D.B.A.] (BUSINESS LICENSE) 

Type of Business:______________________________Telephone # (___)__________

Business Name:____________________________________________________________

Business Address:_________________________________________________________

City:_____________________________________________________________________

Business Located in City, Township or Village of:_________________________

Business Owner(s) Name(s)      Addresss         City/State          ZIP   

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Number of Certified Copies desired _________                               

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Method of Payment: ___Cash  ___Money Order  ___Check                       
Charge My: ___  ___                                               
~Card Number~                                    ~Expires~                 
_|_|_|_| - _|_|_|_| - _|_|_|_| - _|_|_|_|        _|_| - _|_| (MO-YR)       

Signature___________________________________________________ - ____________
(Needed to process your order)                                             

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*   All owners must be present when applying in person to have theri signatures notarized.                 
**  The terms Corporation, Incorporated, limited may not be included in the business name.                 
*** Corporations, Limited Partnerships & Non Profit Organizations are filed with the State of Michigan,    
             Corporation & Securities Bureau (900) 555-0031.
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