The Utah Department Commerce Notice form serves as an official document for businesses seeking an exemption under the Business Opportunity Disclosure Act. This form is essential for both initial applications and renewals, ensuring compliance with state regulations. To get started, fill out the form by clicking the button below.
The Utah Department of Commerce Notice form serves as a crucial document for businesses seeking exemption under the Business Opportunity Disclosure Act. This form requires applicants to pay an annual non-refundable fee of $100. It is essential for both initial applications and renewals, allowing businesses to indicate their status clearly. The form collects vital information, including the applicant's name, franchise details, and business address. Additionally, it requires the submission of the applicant's Federal Employer Identification number and contact information for a designated representative. Compliance with federal regulations is also a key component, as applicants must affirm their adherence to the Federal Trade Commission's rules regarding franchising and business opportunities. Proper completion of the form is mandatory; incomplete submissions will not be accepted. For any questions or clarifications, the Division of Consumer Protection provides a contact number for assistance.
State of Utah
DEPARTMENT OF COMMERCE
DIVISION OF CONSUMER PROTECTION
NOTICE OF EXEMPTION
pursuant to the
BUSINESS OPPORTUNITY DISCLOSURE ACT
Annual Notice of Exemption fee: $100.00 (Non-refundable)
______________________________________________________
Applicant’s Name
Date of Application
Please indicate whether this is an initial or renewal notice of exemption:
OFFICE USE ONLY
Permit Number: _________________
Date Issued: ____________________
Date Expires: ___________________
Receipt Number:_________________
[ ] INITIAL
[ ] RENEWAL
If you have any questions, please contact the Division at (801) 530-6601.
Please return the completed notice of exemption form and fee to:
Department of Commerce
Division of Consumer Protection
160 East 300 South
SM Box 146704
Salt Lake City, Utah 84114-6704
COMPLETE REVERSE SIDE — SIGNATURE REQUIRED
May2001
The applicant submits this form pursuant to UCA § 13-15-4.5 and states as follows:
1.Applicant’s name is: _____________________________________________________________________
2.The name of the Applicant’s Franchise is: _____________________________________________________
3.The name under which the Applicant intends to or does transact business, if different than the nameofthefranchise, is: ___________________________________________________________________________________
4.Applicant’s principal business address is:_____________________________________________________
Street
_____________________________________________________
City
State
Zip Code
5.Applicant’s Federal Employer Identification number is: ___________________________________________
6.Applicant’s contact person is:
_______________________________________________________________________
Name
.
______________________________
__________________________________
Telephone Number
Facsimile Number
7.The Applicant states that it is in substantial compliance with the requirements of the Federal Trade Commission rule found at Title 16, Chapter I, subchapter d, Trade Regulation Rules, Part 436, Disclosure Requirements and Prohibitions Concerning Franchising and Business Opportunity Ventures.
DATED: ______________________
APPLICANT:
BY _______________________________________________
ITS
NOTE: Formmust be completely filled out or it will not be accepted.
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