Docstoc Legal Agreements
This is a document that is used to announce the intent of a company to conduct business
under a different name. The user fills out the current business name, location, type of
business, and desired fictitious name. However, the user should check their local state and
county requirements for fictitious names as these laws vastly differ. This document is ideal
for small businesses and other entities located in Virginia who want to conduct business
under a fictitious name.
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CONDUCT OF BUSINESS UNDER FICTITIOUS OR ASSUMED NAMED
Date: ____ [Month] ____ [Date], 20____.
The following person/s is/are doing business as:
1. The name under which the business is, or will be, carried on is:
_______________________________________ [Instruction: Insert name of the business].
2. The real name and address of each person owning or interested in the business is:
Owner 2 [Optional]
[Instruction: Insert name and address of each person owning or interested in the
3. The type of the business is: _________________________________________________
[Instruction: Insert the type of business, e.g., Corporation, Partnership, Joint Venture]
4. The nature of the business is: _________________________________________________
[Instruction: Insert the nature of business, e.g., manufacturing, marketing, e-commerce
5. The business will be conducted at: ______________________________________________
[Instruction: Insert the principal place of business]
I HEREBY SWEAR AND AFFIRM, under penalty of perjury, that the facts contained
in this statement are true.
[Instruction: Insert signature of applicant]
STATE OF Virginia
COUNTY OF _________________
On ____________________ before me,______________________, personally appeared
______________________________________________, personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Affiant: _____Known _____Unknown
ID Produced______________________ __________________________________
(Seal) Notary's Typed Name
My commission expires: ________________