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Fictitious Business Name Additional Information (Business And Registrant Names) ACR 501 - California

Fictitious Business Name Additional Information (Business And Registrant Names) Form. This is a California form and can be used in Clerk Recorder Assessor County Clerk Recorder Riverside Local County .
 Fillable pdf Last Modified 7/27/2009
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FICTITIOUS BUSINESS NAME ADDITIONAL INFORMATION (Business & Registrant names) ABANDONMENT/WITHDRAWAL FBN FILE NUMBER:_______________________________ PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK ADDITIONAL BUSINESS NAME(S) Place FBN label or FILE STAMP here (1) __________________________________________________________________________________________ (2) __________________________________________________________________________________________ (3) __________________________________________________________________________________________ (4) __________________________________________________________________________________________ (5) __________________________________________________________________________________________ ADDITIONAL REGISTRANT NAME(S) Full Name of Registrant ­ First, Middle and Last _________________________________________________________________ Residence Address Full Name of Registrant ­ First, Middle and Last _________________________________________________________________ Residence Address ___________________________________________ City State Zip ___________________________________________ City State Zip ___________________________________________ (If corporation or limited liability company, state of incorporation or organization and either AI# or LCC#) ___________________________________________ (If corporation or limited liability company, state of incorporation or organization and either AI# or LCC#) _________________________________________________________________ Full Name of Registrant ­ First, Middle and Last _________________________________________________________________ Residence Address _________________________________________________________________ _ Full Name of Registrant ­ First, Middle and Last _________________________________________________________________ Residence Address ___________________________________________ City State Zip ___________________________________________ City State Zip ___________________________________________ (If corporation or limited liability company, state of incorporation or organization and either AI# or LCC#) ___________________________________________ (If corporation or limited liability company, state of incorporation or organization and either AI# or LCC#) _________________________________________________________________ Full Name of Registrant ­ First, Middle and Last _________________________________________________________________ Residence Address _________________________________________________________________ Full Name of Registrant ­ First, Middle and Last _________________________________________________________________ Residence Address ___________________________________________ City State Zip ___________________________________________ City State Zip ___________________________________________ (If corporation or limited liability company, state of incorporation or organization and either AI# or LCC#) ___________________________________________ (If corporation or limited liability company, state of incorporation or organization and either AI# or LCC#) _________________________________________________________________ _________________________________________________________________ I HEREBY CERTIFY THAT THIS IS A CORRECT COPY OF THE ORIGINAL STATEMENT ON FILE IN MY OFFICE. LARRY W. WARD Assessor, County Clerk, Recorder By __________________________________, Deputy County of Riverside Form 501 / ACR 501P-AS4CL0 (Rev. 06/2009) Available in Alternate Formats American LegalNet, Inc. www.FormsWorkFlow.com
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