Instructions

True name of the individual delivering the statement

The last name and first name of the individual using the trade name must be provided. A middle name and suffix are optional. Examples of a suffix include Jr, Sr, and II.

Usual place of business street address

Provide the street name and number, including the suite, unit or apartment number, if applicable. The city, state, and zip code must also be provided. Any address outside of the United States must include the country and, if applicable, the province.

Example:

123 N. Main Street, Apt 101
Denver, Colorado 80202

Mailing address

If the mailing address is different than the street address, or mail cannot be delivered to the street address, provide the address, including the city, state and zip code where mail is to be delivered. Any address outside of the United States must include the country and, if applicable, the province.

Example:

P.O. Box 854
Lakewood, Colorado 80228

Trade name

Provide the trade name under which such person transacts business or contemplates transacting business.

Brief description

Briefly describe the type of business transacted or activities conducted using the trade name.

Delayed effective date (optional)

If you want the document to take effect immediately, leave the radio button selected “Yes” and the date field blank.

If you don’t want the document to become effective immediately, select “No” and enter the date and time (time is optional) that you want the document to become effective in the box. If only a date is entered into the box, then the document will become effective at 11:59 PM on that date. The effective date of filing can be delayed up to 90 days maximum. All filing dates and times are in Mountain Time. [1]

Additional information

Mark “Yes” if you will be attaching additional information to the form. You will have a chance to upload attachments after you have finished filling out the form and clicked on “Submit”. Attachments can be text (.txt) or PDF (.pdf) files. Information about attachments.

Email notification

Our office can send you email notifications about due dates and other events affecting this business record.

Notice

This section describes the legal authority for filing this document. [2]

Individual causing delivery [3]

Each individual causing the document to be filed is responsible for complying with the applicable statutes. Provide the last name and first name of at least one individual causing the document to be delivered for filing. Enter the individual’s mailing address, including the city, state and ZIP/postal code. If the address is outside of the United States, include the country and, if applicable, the province.

Example:

Smith, John
123 N. Main St., Apt 101
Denver, Colorado 80122

Additional individuals causing delivery

If more than one person is causing this document to be filed, mark “Yes” to include an attachment with the names and addresses of additional individuals causing the document to be filed. The attachment must provide the name of each additional individual, including their last name and first name. A middle name or initial and a suffix are optional. Also provide the mailing address, including the city, state and ZIP/postal code. Any address outside of the United States must include the country and, if applicable, the province.

Disclaimer

Instructions, and the related form, are not intended to provide legal, business, or tax advice, and are offered as a public service without representation or warranty. While the related form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user’s attorney.

Submit

Selecting the Submit button will navigate to either the “Manage Attachments” page or the “You’re not done yet” page to review the information. If you select Submit and the next page does not display, first check for error messages at the top of the form. Your document won’t be filed until after Payment.

Note

Review the form carefully; mistakes may have legal consequences. Our office cannot provide legal advice. Questions should be addressed to your legal, business, or tax advisor(s). Only provide information that is required or permitted to be included in the document. Information included in the document must be in English, and must state the name and address of at least one individual causing the document to be delivered for filing.

Statement of Trade Name of an Individual filed pursuant to § 7-71-103 C.R.S.

[1] | 2-4-109 and 7-90-304, C.R.S.
[2] | 7-90-301.5, C.R.S.
[3] | 7-90-301.5, C.R.S.