Statement of Abandonment of Use of Fictitious Business Name
Freddie Oakley
Yolo County Clerk/Recorder 625 Court Street, Rm #105 Woodland, CA 95695 (530)666-8130
For Office Use:
FBN Number:
Please Print or Type
Fee Paid___________
The following person(s) have abandoned the use of the Fictitious Business Name(s):
located at:
Street Address (No PO Box)
City
State
Zip
(of Principal Place of Business in California)
The fictitious business name referred to above was filed in Yolo County on
1.
Full Name (type or print)
2.
Full Name (type or print)
Street Address
Street Address
City
St
Zip
City
St
Zip
3.
Full Name (type or print)
4.
Full Name (type or print)
Street Address
Street Address
City
St
Zip
City
St
Zip
If there are more than four persons, please attach additional sheets showing registrant information.
*This business was conducted by (business classification) Print or Type Name Signature
"I declare that all information in this statement is true and correct. (A registrant
who declares as true information which he or she knows to be false is guilty of a crime.)"
Filing Fee: $35.00 See additional information on back.
I hereby certify that this is a true copy of the original document on file in this office. This certification is true as long as there are no alterations to the document, AND as long as the document is sealed with a red seal. State of California County of Yolo Freddie Oakley, County Clerk/Recorder
Date:
by: Deputy Clerk
This statement was filed with the Yolo County Clerk on the date indicated by the file stamp above.
1/2003