6/11/2013 12:44:00 PM MINNESOTA
Minnesota Statutes Chapter 333
1. List the exact name under which the business is or will be conducted: (Required)
Neher Custom Services
2. Principal Place of Business: (Required)
61077 200 Ave., Dodge Center, MN 55927
3. List the name and complete street address of all persons conducting business under the above Assumed Name, OR if an entity, provide the legal corporate, LLC, or Limited Partnership name and registered office address: (Required)
Richard Neher, 61077 200 Ave., Dodge Center, MN 55927, Madelyn Neher, 61077 200 Ave., Dodge Center, MN 55927
4. I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath.
/s/ Richard Neher
Email Address for Official Notices
Enter an email address to which the Secretary of State can forward official notices required by law and other notices: firstname.lastname@example.org
x Check here to have your email address excluded from request for bulk data, to the extent allowed by Minnesota law.
List a name and daytime phone number of a person who can be contacted about this form:
Madelyn Neher, 507-633-2887
Entities that own, lease, or have any financial interest in agricultural land or land capable of being farmed must register with the MN Dept. of Agriculture's Corporate Farm Program