Form NPM Notification to Sell Prepaid Merchandise, Burial Products, Services or Contracts - Kansas

Form NPM is a Kansas Secretary of State form also known as the "Notification To Sell Prepaid Merchandise, Burial Products, Services Or Contracts". The latest edition of the form was released in June 25, 2015 and is available for digital filing.

Download an up-to-date Form NPM in PDF-format down below or look it up on the Kansas Secretary of State Forms website.

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Kansas Secretary of State, Audit Manager:
kansas secretary of state
Form
Notification to Sell Prepaid
Memorial Hall, 1st Floor
(785) 296-4564
NPM
Merchandise, Burial Products,
120 S.W. 10th Avenue
audit@sos.ks.gov
Services or Contracts
Topeka, KS 66612-1594
www.sos.ks.gov
Please complete the form, print, sign and mail to the Kansas Secretary of State. Selecting 'Print' will print the
Print
Reset
form and 'Reset' will clear the entire form.
Directions: Before selling prepaid merchandise, burial products, services or contracts, this form must be completed in
full (typewritten or printed in ink) and signed. If additional space is needed in answering any questions, please attach the
information to this form as an Exhibit.
Name of Legal Owner
E-mail Address
Phone
Mailing Address
City
State
Zip
Common Name of Cemetery
County
Physical Address
City
State
Zip
KS
Branch Establishment 1
County
Physical Address
City
State
Zip
KS
Branch Establishment 2
County
Physical Address
City
State
Zip
KS
Financial Institution / Trustee 1
County
Physical Address
City
State
Zip
KS
Financial Institution / Trustee 2
County
Physical Address
City
State
Zip
KS
I do hereby certify under penalty of perjury and pursuant to the laws of the state of Kansas that the information contained in this
report and supplied in any attachments thereto is true and correct.
Printed Name
Title
Signature of Owner or Officer
Month
Day
Year
X
1 / 1
Please review to ensure completion.
K.S.A. 16-329
Rev. 6/25/15 tc
Kansas Secretary of State, Audit Manager:
kansas secretary of state
Form
Notification to Sell Prepaid
Memorial Hall, 1st Floor
(785) 296-4564
NPM
Merchandise, Burial Products,
120 S.W. 10th Avenue
audit@sos.ks.gov
Services or Contracts
Topeka, KS 66612-1594
www.sos.ks.gov
Please complete the form, print, sign and mail to the Kansas Secretary of State. Selecting 'Print' will print the
Print
Reset
form and 'Reset' will clear the entire form.
Directions: Before selling prepaid merchandise, burial products, services or contracts, this form must be completed in
full (typewritten or printed in ink) and signed. If additional space is needed in answering any questions, please attach the
information to this form as an Exhibit.
Name of Legal Owner
E-mail Address
Phone
Mailing Address
City
State
Zip
Common Name of Cemetery
County
Physical Address
City
State
Zip
KS
Branch Establishment 1
County
Physical Address
City
State
Zip
KS
Branch Establishment 2
County
Physical Address
City
State
Zip
KS
Financial Institution / Trustee 1
County
Physical Address
City
State
Zip
KS
Financial Institution / Trustee 2
County
Physical Address
City
State
Zip
KS
I do hereby certify under penalty of perjury and pursuant to the laws of the state of Kansas that the information contained in this
report and supplied in any attachments thereto is true and correct.
Printed Name
Title
Signature of Owner or Officer
Month
Day
Year
X
1 / 1
Please review to ensure completion.
K.S.A. 16-329
Rev. 6/25/15 tc

Download Form NPM Notification to Sell Prepaid Merchandise, Burial Products, Services or Contracts - Kansas

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