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Fictitious Business Name Statement (San Joaquin) 277 - California
| Fictitious Business Name Statement (San Joaquin) Form. This is a California form and can be used in Recorder County Clerk San Joaquin Local County . |
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Kenneth W. Blakemore, MAI Recorder / County Clerk County of San Joaquin 44 North San Joaquin Street, Suite 260 Stockton, CA 95202 (209) 468-3939 SEE REVERSE SIDE FOR INSTRUCTIONS Original (First Filing) Refile (Change(s) in facts from previous filing) Refile (No Change(s) in facts from previous filing) Previous File # ________________ REMINDER 1. 2. 3. 4. 5. 6. Type or print legibly in black ink Submit original and 2 copies. The $33 filing fee includes one owner and one business name. Add $6 for each additional owner or partner. Add $6 for each additional business name located at the same address If filing by mail, enclose a self addressed, stamped, return envelope Attach separate page for additional names 7. Space above for use of County Clerk only FICTITIOUS BUSINESS NAME STATEMENT The following person (persons) is (are) doing business as: A FICTITIOUS BUSINESS NAME(S) 1) Street Address of Principal place of Business (P.O. Box not acceptable) Mailing Address (If Different) 2) City City State State Zip Zip B Full Name of Registrant (if Registrant is a Corporation, show Corporation name) Residence Street Address (P.O. Box not acceptable) Full Name of Registrant Residence Street Address (P.O. Box not acceptable) City State Zip City State Zip (If corporation or LLC, print state of incorporation/organization) (If corporation or LLC, print state of incorporation/organization) C Full Name of Registrant Residence Street Address (P.O. Box not acceptable) Full Name of Registrant Residence Street Address (P.O. Box not acceptable) City State Zip City State Zip (If corporation or LLC, print state of incorporation/organization) (If corporation or LLC, print state of incorporation/organization) D This Business is conducted by: (Check only one) State or Local Registered Domestic Partners The registrant commenced to transact business under the fictitious business name or names listed above on ____________________________ E an individual husband and wife co-partners a trust joint venture a corporation a limited partnership a general partnership limited liability company an unincorporated association other than a partnership a limited liability partnership (Insert N/A above if you haven't started to transact business) NOTICE IN ACCORDANCE WITH SUBDIVISION (a) OF SECTION 17920, A FICTITIOUS NAME 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 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 false is guilty of a crime.) _____________________________________________________ SIGNATURE OF REGISTRANT 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. F THE FILING OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A THIS STATEMENT WAS FILED WITH THE RECORDER / COUNTY CLERK OF SAN FICTITIOUS BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER FEDERAL, STATE, JOAQUIN COUNTY ON THE DATE INDICATED BY THE FILE STAMP IN THE UPPER OR COMMON LAW (SEE SECTION 14411 ET SEQ., BUSINESS AND PROFESSIONS CODE). RIGHT CORNER. Print name of person signing. If corporation, also print corporate title of officer. If LLC, also print title of officer or manager. I hereby certify that this copy is a correct copy of the original statement on file in my office. Assessor/Recorder/County Clerk Registrant's Name _____________________________________ (Please Print) Officer's Title _________________________________________ (Please Print) San Joaquin County Assessor/Recorder/County Clerk 277 (07/2012) By,_______________________________________________, Deputy Original- Recorder Yellow-Newspaper Pink - Customer American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETION OF STATEMENT Business and Professions Code Section 17913: SECTION A: (a) Insert the fictitious business name or names (b) Only those businesses operated at the same address and under the same ownership may be listed on one statement SECITON B: (a) If the registrant has a place of business in this state, insert the street address and county of his or her principal place of business in this state (b) If the registrant has no place of business in this state, insert the street address and county of his or her principal place of business outside this state and file with the Clerk of Sacramento County (B&P 17915) (c) Mail Box and Post Office Box Numbers are not acceptable as a business address when used alone without a street address SECTION C: (a) If the registrant is an individual, insert his or her full name and residence address (b) If the registrants are husband and wife, insert the full name and residence address of both the husband and the wife (c) If the registrant is a general partnership, copartnership, joint venture, limited liability partnership, or unincorporated association other than a partnership, insert the full name and residence address of each general partner (d) If the registrant is a limited partnership, insert the full name and residence address of each general partner (e) If the registrant is a limited liability company, insert the name and address of the limited liability company, as set out in its articles of organization on file with the CA Secretary of State, and the state of organization (f) If the registrant is a trust, insert the full name and residence address of each trustee (g) If the registrant is a corporation, insert the name and address of the corporation, as set out in its articles of incorporation on file with the CA Secretary of State, and the state of incorporation (h) If the registrants are state or local registered domestic partners, insert the full name and residence address of each domestic partner SECTION D: (a) Check whichever of the terms listed on the front of the form that best describes the nature of the business. Corporations and limited liability companies must include state filed Articles of Incorporation. State Articles also required when re-filing Fictitious Business Name Statement. SECTION E: (a) Insert the date on which the registrant first commenced to transact business under the fictitious business name or names listed, if already transacting bus
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