Name Change Application Form

Note: This application does not include state filing fees. A $250 service fee applies; final price may vary based on state and agency requirements.

Full Legal Name of Applicant:

Title/Role (Owner, Partner, Officer, etc.):

Email *

Phone *

Business Information

(Before Name Change)

Current Legal Business Name (exactly as registered): *

Current DBA (if applicable): *

Business Address *

Federal Employer Identification Number (FEIN): *

USDOT/MC Number (if applicable): *

Requested New

Business Name

New Legal Business Name: *

New DBA (if applicable):

Effective Date of Name Change:

Reason for Name Change:

Rebranding
Ownership Change
Legal Requirement
Other
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Other:

Supporting Information

(Only complete if applicable)

State or Federal Agencies that need to be notified of name change (check all that apply):

IRS (FEIN update)

FMCSA (Motor Carrier Authority update)

Secretary of State (Business Registration update)

State Department of Revenue (Sales Tax/Tax ID update)

Other

Other (please specify): *

Do you have an existing business license that needs updating?

Yes
No
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Service Fee:

Name Change Application — $250
- (Federal + 1 State Filing)
Additional State Filing (if required): $75 per state

Please submit your payment of $250 to begin your Name Change Application; final pricing may vary based on your state details. *

$ 250

$ 325

*100% secure & safe payments*

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