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To renew, please file the renewal certificate below in accordance with KRS 365.015(4) and remit the #20.00 filing fee. The renewal certificate is good for five years, and will expire on


The electronic signature and title of at least one person authorized pursuant to KRS 365.015 is required below.

I hereby certify that I am authorized to submit this assumed name renewal and that the information is current as of today. I further understand that a typed version of my name is being accepted as my original signature.

Authorized Person  
Authorized Person

Pay for the filing

Select the payment method for this filing from the list below:

Credit / debit card / EFT (Electronic funds transfer)
Prepaid account

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