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MIKE BRYANTON
INGHAM COUNTY CLERK
BOX 179 *
MASON, MI 48854
(517) 676-7201 * FAX (517) 676-7254 |
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This form is
used ONLY to REQUEST A CERTIFIED
COPY of a D.B.A. or Co-Partnership.
To download a form to file a D.B.A. or Co-Partnership
registration
click here.
Please print
and complete the form below and mail or fax it to our
office.
If you are ordering a certificate by mail, a check
or money
order made payable to the Ingham County Clerk is
acceptable.
(Effective December 1, 2004 we cannot accept
out-of-State checks).
If you are ordering a certificate
by fax a Visa or MasterCard must be used. |
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There is a
$2.00 fee for a certified copy.
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D.B.A. or
Co-Partnership Certificate |
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________________________________ |
| Name of
Business (If known)
__________________________________________
___________________________________________
Owner(s) of Business
(if known) |
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Daytime Telephone (include
area code) |
Mail Certificate to (Name): |
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Address: |
No. of Copies:
To expedite, add $18.00 |
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City: |
State: |
Zip |
Credit Card Number: |
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Applicant Signature: |
Visa?
r |
MasterCard?
r |
Exp. Date: |
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