Business Name Registration

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Business Name Registration

To register a Business Name please complete the below information. Please note, the documents provided will depend on your answers below so please confirm all information provided is accurate.

Before submitting your order form, please ensure you have confirmed the availability of the proposed company name via www.connectonline.asic.gov.au/RegistrySearch/.

Important: Your proposed business name may infringe a registered trademark now or in the future. As a result, there may be legal ramifications. Secondly, the registration of your proposed business does not provide you with ownership of any word or phrase used in the name. The Act primarily exists to ensure identification of proprietors and only protects you from another entity trading under your business name as registered. Other business names may contain same or similar words that are in your business name. Protection of your name may be achieved through the registration of a trademark.

Once you have completed all relevant details, please email a signed copy to contact@eastcoastinc.com.au. Please note, processing delays may occur if all details are not provided.

East Coast Incorporations Pty Ltd
ACN 162 452 566 | ABN 89 162 452 566
contact@eastcoastinc.com.au
PO Box 3767, Australia Fair QLD 4215
PH: (07) 55 608 615

Client Acknowledgement

This content has been prepared by East Coast Incorporations Pty Ltd ABN 89 162 452 66 for general information only and is not a recommendation or advice to set up an entity. Before acting on any information contained herein, you should consider if it is suitable for you. You should also consider seeking professional advice. East Coast Incorporations does not provide any advice and is a document preparation service only.

Checkbox Field

I understand & agree to continue

Business Name Details

Please fill in the following business name details.

Business Name

Is this a transfer of an existing business name to a new holder?

Yes

Transfer Number

Registration Term

1 Year

3 Years

Principal Place of Business

Address Line 1

Address Line 2

City

State

Zip Code

Country

Postal Address

As Above

Postal Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Briefly, what will this company/trust be used for?

Who is paying our fee?

Referring Firm

Client

Someone Else

Who?

Business Name Holder Details

Please fill in the following Business Name Holder details.

Business Name Holder Type

Individual

Corporate

Trust

Individual

Please fill in the following Individual details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Corporate

Please fill in the following Corporate details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Trust

Please fill in the following Trust details.

Trust Name

Business Address

As Above

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Trustee Type

Individual Trustee

Corporate Trustee

Individual Trustee 1

Please fill in the following Individual Trustee details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Do you want to add another individual trustee?

Yes

Individual Trustee 2

Please fill in the following Individual Trustee 2 details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Do you want to add another individual trustee?

Yes

Individual Trustee 3

Please fill in the following Individual Trustee details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Do you want to add another individual trustee?

Yes

Individual Trustee 4

Please fill in the following Individual Trustee details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Do you want to add another individual trustee?

Yes

Individual Trustee 5

Please fill in the following Individual Trustee details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Do you want to add another individual trustee?

Yes

Individual Trustee 6

Please fill in the following Individual Trustee details.

First Name

Middle Name

Last Name

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Place of Birth

ABN

Corporate Trustee 1

Please fill in the following Corporate Trustee details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Do you want to add another Corporate trustee?

Yes

Corporate Trustee 2

Please fill in the following Corporate Trustee details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Do you want to add another corporate trustee?

Yes

Corporate Trustee 3

Please fill in the following Corporate Trustee details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Do you want to add another corporate trustee?

Yes

Corporate Trustee 4

Please fill in the following Corporate Trustee details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Do you want to add another corporate trustee?

Yes

Corporate Trustee 5

Please fill in the following Corporate Trustee details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Do you want to add another corporate trustee?

Yes

Corporate Trustee 6

Please fill in the following Corporate Trustee details.

Company Name

ACN

Residential Address

As Above

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Person(s) that is authorized to sign on behalf

ABN

Declaration and Consent

I hereby authorise East Coast Incorporations Pty Ltd ABN 89 162 452 566 to register this Business Name with the
ABR. I assume full responsibility and agree to honor and abide by the terms of payment.

I am lodging this application for Registration of a Business Name on behalf of a client. I confirm that I have received consent from my client that East Coast Incorporations Pty Ltd ABN 89 162 452 566 is authorised to register this Business Name with the ABR on behalf of our client. I assume full responsibility and agree to honor and abide by the terms of payment.

I have read and accept the Terms and Conditions

Full Name

Dated

Signature

Sign Here

Individual Trustee 1 Full Name

Dated

Signature

Sign Here

Individual Trustee 2 Full Name

Dated

Signature

Sign Here

Individual Trustee 3 Full Name

Dated

Signature

Sign Here

Individual Trustee 4 Full Name

Dated

Signature

Sign Here

Individual Trustee 5 Full Name

Dated

Signature

Sign Here

Individual Trustee 6 Full Name

Dated

Signature

Sign Here

Corporate Trustee 1 Full Name

Dated

Signature

Sign Here

Corporate Trustee 2 Full Name

Dated

Signature

Sign Here

Corporate Trustee 3 Full Name

Dated

Signature

Sign Here

Corporate Trustee 4 Full Name

Dated

Signature

Sign Here

Corporate Trustee 5 Full Name

Dated

Signature

Sign Here

Corporate Trustee 6 Full Name

Dated

Signature

Sign Here

Identity verification is required by law before we can establish your entity. You consent to your details being used for this purpose.