Name/DBA Fictitious Business Name Notice

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VERMONT ASSUMED BUSINESS NAME REGISTRATION WORKSHEET

1. WHO USES THIS FILING

An assumed business name registration may be used by a sole proprietor, general partnership, unincorporated nonprofit association, or an existing business or nonprofit entity doing business under a different name.

An individual doing business under a name that includes the individual's full proper name is exempt under 11 V.S.A. § 1621.

2. REGISTRATION INFORMATION

Assumed Business Name: [NAME]

Business Activity: [DESCRIPTION]

Principal Business Address: [ADDRESS]

List each individual or entity registrant:

Registrant Legal Name Address Entity ID, if applicable
[NAME] [ADDRESS] [ID]

Registered Agent, if required: [NAME / VERMONT ADDRESS]

The assumed business name must satisfy Vermont's distinguishability and restricted-designator rules.

3. FILING AND TERM

3.1 File with the Vermont Secretary of State, preferably through the online business filing system.

3.2 The current registration fee is $70.

3.3 Reregister every five years. The current reregistration fee is $65, and 11 V.S.A. § 1635 permits filing within 60 days following the reregistration deadline.

3.4 Registration does not create a separate legal entity.

3.5 Vermont does not require newspaper publication or an affidavit of publication for this filing.

4. CHANGES AND CESSATION

Use the current certificate of change of business status or certificate of cessation process when registration information changes or the business stops using the name. The current fee for either filing is $35.

5. SIGNATURE

__________________________________________

Printed Name: [NAME]

Title / Capacity: [TITLE]

Date: [DATE]

SOURCES AND REFERENCES

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About This Template

Corporate documents govern how a company makes decisions, records them, and handles disputes between owners, directors, and officers. Proper corporate paperwork is what lets a business take advantage of limited liability, pass clean audits, and survive an acquisition or investor review. Skipping formalities like written resolutions and signed consents is one of the fastest ways for a business owner to lose personal asset protection.

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This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Last updated: July 2026

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