FICTITIOUS NAME 

                                                         REPORT 

TO: OKLAHOMA SECRETARY OF STATE 
  421 NW 13th St, Suite #210 
  Oklahoma City, OK 73103 
  (405) 522-2520

PLEASE NOTE: 

   ONLY use this form when the legal name of a foreign corporation is prohibited by Title 18, Section 1140
    of the Oklahoma Statutes.   This form is not used to file a trade name or d/b/a in the state of Oklahoma.

   ATTACHED HERETO is the Certificate of Qualification for a foreign corporation.

    I, the authorized representative of: 

                                                                                           , 

a corporation duly organized under the laws of the State or Country of:                    , 
do hereby certify that the following is a true and correct copy of a resolution of the Board of Directors of said 
corporation: 

     “It is RESOLVED, that said corporation, desiring to transact business in the State of Oklahoma, inasmuch 
the Board of Directors have been advised that the name of said corporation is not available for corporate use in the 
State of Oklahoma, adopts the following fictitious name: 

                                                                                                             , 
which shall be used to the exclusion of its true name when transacting business in the State of Oklahoma pursuant 
to the provisions of Title 18, Section 1141 of the Oklahoma Statutes.” 

The fictitious name report must be signed by a representative or representatives of the business 
entity duly authorized to sign on its behalf. 

  Signature:                                                               Dated:  

  Printed Name:                                                            Title:  

                                                                                     (SOS FORM 0032-10/21) 

                              Oklahoma Secretary of State 
                              Request to receive 
                              documents electronically 

No need to wait on your filed documents to be mailed back to you.  If you would like your filed 
documents returned electronically, please complete and attach this form to your documents. 
Complete ALL information below to receive an email which will contain a link to retrieve your 
filed documents.  (Please print or type clearly.) 

Return filed documents electronically 

Receipt will read as follows: 

PERSONAL or BUSINESS NAME: 

MAILING ADDRESS: 

CITY, STATE & ZIP CODE: 

PHONE OR CELL: 

EMAIL ADDRESS: 

(It is critical that the email address is correct, or you may not receive the notification of filing)