Form NPSF409D "Invention Developer Surety Bond - Declaration of Income" - California

What Is Form NPSF409D?

This is a legal form that was released by the California Secretary of State - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the California Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NPSF409D by clicking the link below or browse more documents and templates provided by the California Secretary of State.

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Download Form NPSF409D "Invention Developer Surety Bond - Declaration of Income" - California

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State of California
Secretary of State
DECLARATION OF INCOME
INVENTION DEVELOPER
(
Business and Professions Code Section 22370 et seq.)
Complete and mail to: Secretary of State, P.O. Box 942870,
Sacramento, CA 94277-2870. (916) 653-3984
(Office Use Only)
The undersigned does hereby state and declare:
That I am the _______________________________________________________________________________________
Title of Officer
of________________________________________________________________________________________________________
Name of Business
developer located at _________________________________________________________________________________________
Street Address
__________________________________________________________________________________________________
City
State
Zip Code
That for the purpose of complying with California Law, I hereby state and declare that the total amount of fees charged
buyers by said invention developer organization under contracts entered into between the invention developer organization and
such buyers during the previous 12 months from ________________________________to________________________________
Date
Date
was in the sum of $___________________________.
Amount
I further declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct of
my own knowledge.
Executed on __________________________at______________________________________, ____________________
Date
City
State
________________________________________________
Signature of Declarant
________________________________________________
Typed or Printed Name of Declarant
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
SEC/STATE FORM NPSF 409D Rev 04/2015
State of California
Secretary of State
DECLARATION OF INCOME
INVENTION DEVELOPER
(
Business and Professions Code Section 22370 et seq.)
Complete and mail to: Secretary of State, P.O. Box 942870,
Sacramento, CA 94277-2870. (916) 653-3984
(Office Use Only)
The undersigned does hereby state and declare:
That I am the _______________________________________________________________________________________
Title of Officer
of________________________________________________________________________________________________________
Name of Business
developer located at _________________________________________________________________________________________
Street Address
__________________________________________________________________________________________________
City
State
Zip Code
That for the purpose of complying with California Law, I hereby state and declare that the total amount of fees charged
buyers by said invention developer organization under contracts entered into between the invention developer organization and
such buyers during the previous 12 months from ________________________________to________________________________
Date
Date
was in the sum of $___________________________.
Amount
I further declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct of
my own knowledge.
Executed on __________________________at______________________________________, ____________________
Date
City
State
________________________________________________
Signature of Declarant
________________________________________________
Typed or Printed Name of Declarant
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
SEC/STATE FORM NPSF 409D Rev 04/2015