Registration under the Business Names Act – Sole Proprietorship/ Partnership

Instructions:

It is important to read these notes before completing the attached form.

Print all information clearly in CAPITAL LETTERS using black ink.

Complete all sections of the form. Incomplete forms will be returned

Fees:

there is a fee payable for new registrations and renewals

fees may be paid in cash, money order or cheque

payable to the Ontario Minister of Finance

do not send cash in the mail

a handling fee of $35 will be charged for a non-negotiable cheque

Please forward both copies of the enclosed form to the Ministry of Consumer and Commercial Relations. The Client’s copy will no longer be certified consistent with Ontario Regulation 175/ 94 Section 4. The Client’s copy will be returned with a validation in the bottom right hand corner.

Please return completed forms to:

Ministry of Consumer and Commercial Relations

Companies Branch

393 University Avenue, Suite 200

Toronto, Ontario M5G 2M2
Refer to these notes while completing form

1. Registration Type – Check the appropriate box:

New (Fee payable)

a new registration is the first filing of the business name
a change of business name, sole proprietor, or a complete change of partners, is considered a new registration

Renewal (Fee Payable)

a registration expires in five years and must be renewed

Amendment (No Fee Payable)

an amendment should be filed whenever there is a change in address or change of activity

Cancellation (No Fee Payable)

a cancellation should be submitted if you stop using the business name

BIN

For renewal, amendment or cancellation, enter "Business Identification No." (BIN) if previously issued.

2. Business Name – Please print the business name. This is the name you are registering. The business name must be set out in Block Capital Letters in the squares provided and must commence on the first line of the "grid" in the first square. Each square of the grid represents a letter of the alphabet, a punctuation mark, or a space. If there is not sufficient space on the grid for the name, please use additional form(s). Please complete all items on additional form(s) and note the number of each additional page in the top right-hand corner of each form.

3. Mailing Address – include street number, name municipality and postal code. Your copy of the registration will be mailed to this address.

4. Address of Principal Place of Business in Ontario – include street number, name, municipality and postal code. A post office box is not acceptable in a business address. If there is more than one place of business, select one as the principal place. Where the business address is outside Ontario, set out the words "Not Applicable" in Item 4. If this is the case, please ensure that Item 3, the mailing address, includes the street address of the principal place of business outside of Ontario, as a post office box is not acceptable.

5. Activity – include a brief description of the activity being performed.

6. Type of Registrant – Check the appropriate box. If you are registering a partnership with more than 10 partners, you may set out the name and address of a designated partner(s), and check the box marked "More than 10 Partners". Information on all partners carrying on business in Ontario must be kept and made available to the public at the partnership business address.

7/8. Registrant Information – include the full name and residential address or address for service of the sole proprietor, each partner, or designated partner(s). A post office box is not acceptable. For partnerships with more than two partners, please fill out and attach another form(s) with the additional names and addresses.

Additional Information: If registrant is not an individual, enter the name of the business or corporation in "Additional Information." Also enter the address of the business or corporation in Item 8. If registrant is a corporation, enter the corporation number in the space titled "Ont. Corporation No."

9. Print the name of the person authorizing this registration, (either a sole proprietor, or a partner, or a person acting under a power of attorney).

Additional Information: If the person authorizing the registration is not an individual, (e.g. corporation, trust, syndicate) set out the name in "additional Information", and do not complete the boxes for the last, first and middle names.

Registration under the Business Names Act – Sole Proprietorship/ Partnership Page of / de

Enregistrement en vertu de la Loi sur les noms commerciaux (Enterprise personnelle/ societee en nom collectif)

Registration Type

Type d’enregisrement

BIN if previosly issued

NIE Si deja donne

If B, C or D enter "Business Identification Number"

En cas de B,C, or D, inscrivez "Le no. d’entification de l’entreprise"

New

Nouvel

Renewal

Renouvellement

Amendment

Modification

Cancellation

Revocation

Business Name / Nom commercial

	Street Number/ No de rue Street Name / Nom de la rue Suite No. / Bureau No.
3. Mailing Address
	City/Town / Ville Province Country / Pays Postal Code / Code postal
Adresse postale

4. Address of principal place of business in Ontario / Adresse de l’etablissement principal en Ontario			Same as above / Idem a ci-dessus
Street Number	Street Name	P.O. Box not acceptable		Suite No.
No. de rue	Nom de la rue	Casse postale non acceptable		Bureau No.
City/ Town	Province			Postal Code
Ville				Code Postale

Give a brief description of the ACTIVITY being carried out under the business name /

Resume brievement le genre d’ACTIVITE exercee sous le nom commercial

Type of Registrant / Type de personne enregistree

Sole proprietorship

Entreprise personnelle

Partnership

Societe en nom collectif

More than 10 Partners :records at business address

Plus de 10 associes: dossiers a le’adresse d’affaires

Registrant Information / Renseignements sur la personne enregistree

7.	Last Name		First Name		Middle Initial
	Nom de famille		Prenom		Initiale (milieu)

8.	Street Number	Street Name	P.O. Box not acceptable	Suite No.
	No de rue	Nom de la rue	Case postale non acceptable	Bureau no.
	City / Town	Province		Country
	Ville			Pays

Additional Information		Ont. Corporation No.	For Corporate Partners Only Pour les personnes morales associees
Renseignements supplementaires		No matricule de la personne morale en Ontario	uniquement

Registrant Information / Renseignements sur la personne enregistree

7.	Last Name		First Name		Middle Initial
	Nom de famille		Prenom		Initiale (milieu)

8.	Street Number	Street Name	P.O. Box not acceptable	Suite No.
	No de rue	Nom de la rue	Case postale non acceptable	Bureau no.
	City / Town	Province		Country
	Ville			Pays

Additional Information		Ont. Corporation No.	For Corporate Partners Only Pour les personnes morales associees
Renseignements supplementaires		No matricule de la personne morale en Ontario	uniquement

Print name of person authorizing this registration (either the sole proprietor, a partner, or a person acting under a power of attorney).

Indiquez en lettres majuscules le nom de la personne autorisant l’enregistrement (propietaire unique, associe ou personne habilitee en vertu d’une procuration).

Last Name	If the person is a corporation,	First Name	leave this field blank	Middle Name
Nom de famille	Si c’est une personne morale qui autorise	Prenom	l’enregistrement, ne rien	2e prenom	inscrire ici.

OR / OU		MINIISTRY USE ONLY – RESERVE AU MINISTERE
Additional Information
Renseignements supplementaires

07219 (01/96) CD375

MINISTRY COPY / COPIE DU MINISTERE

Registration under the Business Names Act – Sole Proprietorship/ Partnership Page of / de

Enregistrement en vertu de la Loi sur les noms commerciaux (Enterprise personnelle/ societee en nom collectif)

Registration Type

Type d’enregisrement

BIN if previosly issued

NIE Si deja donne

If B, C or D enter "Business Identification Number"

En cas de B,C, or D, inscrivez "Le no. d’entification de l’entreprise"

New

Nouvel

Renewal

Renouvellement

Amendment

Modification

Cancellation

Revocation

Business Name / Nom commercial

	Street Number/ No de rue Street Name / Nom de la rue Suite No. / Bureau No.
3. Mailing Address
	City/Town / Ville Province Country / Pays Postal Code / Code postal
Adresse postale

4. Address of principal place of business in Ontario / Adresse de l’etablissement principal en Ontario			Same as above / Idem a ci-dessus
Street Number	Street Name	P.O. Box not acceptable		Suite No.
No. de rue	Nom de la rue	Casse postale non acceptable		Bureau No.
City/ Town	Province			Postal Code
Ville				Code Postale

Give a brief description of the ACTIVITY being carried out under the business name /

Resume brievement le genre d’ACTIVITE exercee sous le nom commercial

Type of Registrant / Type de personne enregistree

Sole proprietorship

Entreprise personnelle

Partnership

Societe en nom collectif

More than 10 Partners :records at business address

Plus de 10 associes: dossiers a le’adresse d’affaires

Registrant Information / Renseignements sur la personne enregistree

7.	Last Name		First Name		Middle Initial
	Nom de famille		Prenom		Initiale (milieu)

8.	Street Number	Street Name	P.O. Box not acceptable	Suite No.
	No de rue	Nom de la rue	Case postale non acceptable	Bureau no.
	City / Town	Province		Country
	Ville			Pays

Additional Information		Ont. Corporation No.	For Corporate Partners Only Pour les personnes morales associees
Renseignements supplementaires		No matricule de la personne morale en Ontario	uniquement

Registrant Information / Renseignements sur la personne enregistree

7.	Last Name		First Name		Middle Initial
	Nom de famille		Prenom		Initiale (milieu)

8.	Street Number	Street Name	P.O. Box not acceptable	Suite No.
	No de rue	Nom de la rue	Case postale non acceptable	Bureau no.
	City / Town	Province		Country
	Ville			Pays

Additional Information		Ont. Corporation No.	For Corporate Partners Only Pour les personnes morales associees
Renseignements supplementaires		No matricule de la personne morale en Ontario	uniquement

Print name of person authorizing this registration (either the sole proprietor, a partner, or a person acting under a power of attorney).

Indiquez en lettres majuscules le nom de la personne autorisant l’enregistrement (propietaire unique, associe ou personne habilitee en vertu d’une procuration).

Last Name	If the person is a corporation,	First Name	leave this field blank	Middle Name
Nom de famille	Si c’est une personne morale qui autorise	Prenom	l’enregistrement, ne rien	2e prenom	inscrire ici.

OR / OU		MINIISTRY USE ONLY – RESERVE AU MINISTERE
Additional Information
Renseignements supplementaires

07219 (01/96) CD375

CLIENT COPY / COPIE DU CLIENT