Form 440-4867 "Request for a Certificate of Name Compliance" - Oregon

What Is Form 440-4867?

This is a legal form that was released by the Oregon Department of Consumer and Business Services - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2016;
  • The latest edition provided by the Oregon Department of Consumer and Business Services;
  • 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 printable version of Form 440-4867 by clicking the link below or browse more documents and templates provided by the Oregon Department of Consumer and Business Services.

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Download Form 440-4867 "Request for a Certificate of Name Compliance" - Oregon

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Oregon Department of Consumer and Business Services
Division of Financial Regulation
350 Winter St. NE, Rm. 410, Salem, Oregon 97301-3881
Mailing address: P.O. Box 14480, Salem, OR 97309-0405
503-378-4140  Fax: 503-947-7862 • http://dfr.oregon.gov
REQUEST FOR A CERTIFICATE OF NAME COMPLIANCE
ORS 56.023
1. The exact business name to be filed with the Secretary of State:
2. Brief description of the business services to be offered:
3. Location of the Oregon business office and principal contact:
Address/city/state/ZIP:
Phone:
Contact person:
Title:
4. If headquartered out of state, address and telephone number of the principal home office:
Address/city/state/ZIP:
Phone:
5. Complete contact information for the principal of the business (name, title, address, phone number):
Contact person:
Title:
Address/city/state/ZIP:
Phone:
6. Is this a bank or trust company?
Yes
No
If yes, explain your proposed business activities:
7. Will this company be offering bank or trust services to the public?
Yes
No
If yes, explain your proposed business activities:
8. Email address to which we will send our response:
(Unless otherwise requested, you will receive our response via email only)
9. Signature of the principal of the business listed in #5:
Phone:
Please direct your request to: Division of Financial Regulation
Banks and Trusts Program
P.O. Box 14480, Salem, OR 97301
Fax: 503-947-7862 • Email:
banks.trusts@oregon.gov
Please allow 10 business days from the date of submission for processing.
440-4867 (4/16/COM)
Oregon Department of Consumer and Business Services
Division of Financial Regulation
350 Winter St. NE, Rm. 410, Salem, Oregon 97301-3881
Mailing address: P.O. Box 14480, Salem, OR 97309-0405
503-378-4140  Fax: 503-947-7862 • http://dfr.oregon.gov
REQUEST FOR A CERTIFICATE OF NAME COMPLIANCE
ORS 56.023
1. The exact business name to be filed with the Secretary of State:
2. Brief description of the business services to be offered:
3. Location of the Oregon business office and principal contact:
Address/city/state/ZIP:
Phone:
Contact person:
Title:
4. If headquartered out of state, address and telephone number of the principal home office:
Address/city/state/ZIP:
Phone:
5. Complete contact information for the principal of the business (name, title, address, phone number):
Contact person:
Title:
Address/city/state/ZIP:
Phone:
6. Is this a bank or trust company?
Yes
No
If yes, explain your proposed business activities:
7. Will this company be offering bank or trust services to the public?
Yes
No
If yes, explain your proposed business activities:
8. Email address to which we will send our response:
(Unless otherwise requested, you will receive our response via email only)
9. Signature of the principal of the business listed in #5:
Phone:
Please direct your request to: Division of Financial Regulation
Banks and Trusts Program
P.O. Box 14480, Salem, OR 97301
Fax: 503-947-7862 • Email:
banks.trusts@oregon.gov
Please allow 10 business days from the date of submission for processing.
440-4867 (4/16/COM)