Fictitious Business Name Statement / DBA for California

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Fictitious Business Name Statement / DBA for California Powered By Docstoc
					Use this form to file a Fictitious Business Name Statement in the State of
California.
Instructions for filing:

A fictitious business name statement shall be filed with the clerk of the county in which
the registrant has his or her principal place of business in this state or, if the registrant has
no place of business in this state, with the Clerk of Sacramento County. Presentation for
filing of a fictitious business name statement and one copy, tender of the filing fee, and
acceptance of the statement by the county clerk constitute filing under this chapter. The
county clerk shall note on the copy the file number, the date of filing the original, and the
date of expiration and shall certify and deliver or send the copy to the registrant.

Within 30 days after a fictitious business name statement has been filed pursuant to this
chapter, the registrant shall cause a statement to be published pursuant to Section 6064 of
the Government Code in a newspaper of general circulation in the county where the
fictitious business name statement was filed or, if there is no such newspaper in that
county, in a newspaper of general circulation in an adjoining county. If the registrant does
not have a place of business in this state, the notice shall be published in a newspaper of
general circulation in Sacramento County. The newspaper selected for the publication of
the statement should be one that circulates in the area where the business is to be
conducted. An affidavit showing the publication of the statement shall be filed with the
county clerk where the fictitious business name statement was filed within 30 days after
the completion of the publication.




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               CALIFORNIA FICTITIOUS BUSINESS NAME STATEMENT

                         The following person(s) is/are doing business as:

1. [Insert the fictitious business name]
 [Insert street address, city, county, state and zip code of business]

Articles of Incorporation or Organization Number (if applicable): __________________

REGISTERED OWNER(S):

1. [Insert the full name/corp/LLC]
   [Insert the street address (P.O. Box not accepted), city, state and zip code]
   [If Corporation or LLC – Insert State of Incorporation or Organization]

THIS BUSINESS IS CONDUCTED BY: (Check One)
__ An Individual              __ Husband and Wife            __ a General Partnership
__ a Limited Partnership          __ a Limited Liability Company
__ a Corporation                 __ a Trust                   __ Copartners
__ Joint Venture                  __ State or Local Registered Domestic Partners
__ a Limited Liability Partnership
__ an Unincorporated Association other than a Partnership

The registrant commenced to transact business under the fictitious business name or
names listed above on [insert date]

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.)

REGISTRANT/CORP/LLC NAME (PRINT) _____________________________

REGISTRANT SIGNATURE _______________________ If CORP or LLC,
Print Name _____________________
If corporation, also print corporate title of officer. If LLC, also print title of officer or
manager.

Statement filed with the County Clerk of [insert California county within which the
principal place of business is located] County on [insert date].

NOTICE—IN ACCORDANCE WITH SUBDIVISION (a) OF SECTION 17920, A FICTITIOUS NAME STATEMENT
GENERALLY EXPIRES AT THE END OF FIVE YEARS FROM THE DATE ON WHICH IT WAS FILED IN THE OFFICE OF
THE COUNTY CLERK, EXCEPT, AS PROVIDED IN SUBDIVISION (b) OF SECTION 17920, WHERE IT
EXPIRES 40 DAYS AFTER ANY CHANGE IN THE FACTS SET FORTH IN THE STATEMENT PURSUANT TO SECTION
17913 OTHER THAN A CHANGE IN THE RESIDENCE ADDRESS OF A REGISTERED OWNER. A NEW FICTITIOUS
BUSINESS NAME STATEMENT MUST BE FILED BEFORE THE EXPIRATION.

THE FILING OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A FICTITIOUS
BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER FEDERAL, STATE, OR COMMON LAW (SEE
SECTION 14411 ET SEQ., BUSINESS AND PROFESSIONS CODE).




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        __ Copartners
__ Joint Venture                  __ State or Local Registered Domestic Partners
__ a Limited Liability Partnership
__ an Unincorporated Association other than a Partnership

The registrant commenced to transact business under the fictitious business name or
names listed above on [insert date]

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.)

REGISTRANT/CORP/LLC NAME (PRINT) _____________________________

REGISTRANT SIGNATURE _______________________ If CORP or LLC,
Print Name _____________________
If corporation, also print corporate title of officer. If LLC, also print title of officer or
manager.

Statement filed with the County Clerk of [insert California county within which the
principal place of business is located] County on [insert date].

NOTICE—IN ACCORDANCE WITH SUBDIVISION (a) OF SECTION 17920, A FICTITIOUS NAME STATEMENT
GENERALLY EXPIRES AT THE END OF FIVE YEARS FROM THE DATE ON WHICH IT WAS FILED IN THE OFFICE OF
THE COUNTY CLERK, EXCEPT, AS PROVIDED IN SUBDIVISION (b) OF SECTION 17920, WHERE IT
EXPIRES 40 DAYS AFTER ANY CHANGE IN THE FACTS SET FORTH IN THE STATEMENT PURSUANT TO SECTION
17913 OTHER THAN A CHANGE IN THE RESIDENCE ADDRESS OF A REGISTERED OWNER. A NEW FICTITIOUS
BUSINESS NAME STATEMENT MUST BE FILED BEFORE THE EXPIRATION.

THE FILING OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A FICTITIOUS
BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER FEDERAL, STATE, OR COMMON LAW (SEE
SECTION 14411 ET SEQ., BUSINESS AND PROFESSIONS CODE).




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the fictitious business name statement was filed within 30 days after the completion of the publication.

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DOCUMENT INFO
Description: Document filed in the county where a business operates in order to do business under a name different from the business' officially registered name.
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