Dscb 19 17 2 2026

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The document is a form from the Pennsylvania Department of State, Bureau of Corporations and Charitable Organizations, titled 'Consent to Appropriation of Name.' It allows an association to consent to another association's use of its name under specific circumstances, such as changing its name or ceasing business. The form requires details about the consenting association, including its name, address, date of incorporation, and the associations entitled to use the name. It also includes instructions for completion and applicable laws.

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Click ‘Get Form’ to open the dscb 19 17 2 in the editor.
In the first field, enter the exact name of the consenting association as it appears in Department records. This is a required field.
Next, provide either the address of the registered office (part a) or the name of your commercial registered office provider and county (part b). Ensure that you do not fill both sections.
Enter the date of incorporation or formation for the consenting association in month, day, and year format. This is also a required field.
List the exact names of any associations that will benefit from this consent. This field must be completed accurately.
Select one option regarding the status of your association by checking only one box provided. This is mandatory for submission.
Finally, ensure an authorized representative signs and dates the form to affirm that all information provided is true.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is it called when someone uses your name without permission?

Misappropriation of name and likeness is when someone else uses your name or likeness for his benefit, such as for an advertisement or commercial.

What is a docketing statement in PA?

How much does a DBA filing cost in Pennsylvania? The DBA filing fee in Pennsylvania is $70. It does not expire and does not require renewal. Pennsylvania does not offer any expedited services.

What is an example of appropriation of name or likeness?

Examples of misappropriation of image or likeness can include: Using a celebritys photo in an advertisement without permission. Creating merchandise featuring a persons image without authorization. Using someones name or likeness in a video game or film without consent.