DBA Name definition

DBA Name. Enter the DBA name if applicable. • Street Address: Enter the account holder’s street address. • Enter the account holder’s city, state, and zip code. • Account Holder Tax Identification Number: Enter the tax identification number as reported to the IRS. If the business is a group, organization or corporation, provide the Federal employer identification number (EIN). If enrolling as an individual provide your Social Security Number.
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Examples of DBA Name in a sentence

  • DBA, Name , County Filed in Corporation, ID No. LLC/LLP, ID No. List any parent, subsidiaries, or otherwise affiliated business entities of Contractor:(See definition below).

  • Item 4 Employer Doing Business As (DBA) Name If the employer utilizes a DBA, enter it here.

  • Even if it only checked “Hospital,” the LBN or DBA Name will typically contain some type of reference to Indian Health Services.

  • Leave this item blank unless the “Doing Business As” (DBA) Name or “Trade” Name is different from the Legal Business Name entered above.

  • Legal Name of Vendor: DBA Name (if applicable): Address: Officer’s Signature: Print Name and Title: **********************************************************RESIDENT CERTIFICATE Please Check One: Resident Vendor: Vendor has paid unemployment taxes or income taxes in this state during the last twelve calendar months immediately preceding the submission of this Quotation, has a business address in this state and has stated in this Quotation whether the bidder is a “resident bidder” under ORS279A.120(1)(b).

  • DBA Name (Primarily applies to individuals who are sole proprietors and NOT to entities separately completing PE-FRD)NONE CityState Zip — Tel.

  • For more information, please consult “What Forms Do I Need?” at www.fmcsa.dot.gov/reg-forms to determine whether a USDOT Number must be obtained.To find a company’s USDOT Number, use either method below:• Go to http://safer.fmcsa.dot.gov1) Then click “Licensing & Insurance” under “FMCSA Searches”2) Enter a Legal Name or DBA Name and the State in which the company headquarters are located3) Click “Search.”• Call FMCSA at 1-800-832-5660.

  • Louisiana Medicaid Provider Number (7 digits)Submitter Number (7 digits)(leave blank if applying for new number) National Provider Identifier (NPI) (10 digits) DBA Name of Enrolling Business/Entity: Billing Agent/Submitter Name/Name of Business that will be submitting claims (provider name or third party biller’s name): Office Ally, IncName of Contact Person: Contact Phone Number: The Medicaid File can hold a maximum of three Submitter Numbers per Medicaid Provider Number at any one time.

  • FIRM NAME STATED ON LICENSE (Legal Name - NOT DBA Name) Firm Lic.

  • Fictitious (DBA) Name: *All fictitious names must be registered with the Florida Department of State, Division of Corporations.

Related to DBA Name

  • s Name Property Address: _________________________________________________________

  • Print Name Signature: Date:

  • Company Name Address: Attention: Tel: Fax: Email: For all correspondence except payments Center for Technology Licensing at Cornell University Attention: Executive Director 000 Xxxx Xxxx Xxxx, Xxxxx 000 Xxxxxx, XX 00000 FAX: 000-000-0000 TEL: 000-000-0000 EMAIL: xxx-xxxxxxxxx@xxxxxxx.xxx Center for Technology Licensing at Cornell University XX Xxx 0000 Xxxxxx, XX 00000-0000 Receiving bank name: Xxxxxxxx Trust Co. Bank account no.: 0111000065 Bank routing (ABA) no.: 000000000 SWIFT code: Bank account name: XXXXXX00 Cornell University Bank ACH format code: Not required Bank address: X.X. 000, Xxxxxx, XX 00000 Additional information: Reference D-4677 Agreement No.: <to be assigned> An email copy of the transaction receipt shall be sent to xxx-xxxxxxxxx@xxxxxxx.xxx. Licensee is responsible for all bank charges of wire transfer of funds for payments. The bank charges shall not be deducted from the total amount due to Cornell.

  • business name or "trade name" means the name of a licensed business as used by the licensee on signs and advertising.

  • User Name means any user name allocated to the Customer for access to the Services;

  • Contact Name Date: Address: Phone: City: State: Zip Code: Email:

  • By: Name Title: Date: ---------------------------------------------------

  • Product name means the name of the commercial feed which identifies it as to kind, class, or specific use.

  • Street Name means the form of registration in which the securities are held by a broker who is delivering the securities to another broker for the purposes of sale, it being an accepted custom in the United States securities industry that a security in Street Name is in proper form for delivery to a buyer and that a security may be re-registered by a buyer in the ordinary course.

  • Trade name means the name of the Hotel set forth in the Addendum.

  • Logo means the SAP Partner logo as detailed in the SAP Partner Logo Usage Guidelines.

  • Legal Name means the name of the company, corporation or other entity constituted as a legal person under which this person exercises its rights and performs its obligations.

  • Generic name means a short title which is descriptive of the premium and benefit patterns of a policy or a rider.

  • Brand name or “trade name” means a brand name or a trade name, whether registered or not, that is to say, a name or a mark, such as symbol, monogram, logo, label, signature, or invented word or writing which is used in relation to such specified services for the purpose of indicating, or so as to indicate a connection in the course of trade between such specified services and some person using such name or mark with or without any indication of the identity of that person;

  • Common name means any designation or identification such as code name, code number, trade name, brand name or generic name used to identify a chemical other than by its chemical name.

  • First Name XXXXX XXXX" and "XXXXX," or "XXXXXXX" and "XXXX."

  • Property Name Property Address: Control No.: The Mortgage File should be delivered to the following: ________________________________________ ________________________________________ ________________________________________

  • IP Address means a unique number on the Internet of a network card or controller that identifies a device and is visible by all other devices on the Internet.

  • Project Name refers to the project title as stated in the legal agreement (Financing Agreement) between the World Bank and the Government. It should not be confused with the name of the UN Agency’s project or program financed from other sources.]

  • Print means an object of visual art which is created by any of the following processes:

  • Chemical name means the scientific designation of a chemical in accordance with the nomenclature system developed by the International Union of Pure and Applied Chemistry (IUPAC) or the Chemical Abstracts Service (CAS) rules of nomenclature, or a name which will clearly identify the chemical for the purpose of conducting a hazard evaluation.

  • id means identification.

  • Name The formal name of this LLC is as stated above. However, this LLC may do business under a different name by complying with the state's fictitious or assumed business name statutes and procedures.

  • Account Name means the name of the individual who lives with the child(ren) and who applies for the Children’s Health Insurance Program coverage on behalf of the child(ren).

  • Insignia means Insignia Financial Group, Inc., a Delaware corporation.

  • Username means an alphanumeric login identification used by the Client for accessing the Service.