California > Local County > San Bernardino > Recorder Division
Fictitious Business Name Additional Information Form (San Bernardino) - California
| Fictitious Business Name Additional Information Form (San Bernardino) Form. This is a California form and can be used in Recorder Division San Bernardino Local County . |
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San Bernardino County Recorder - Clerk 222 W. Hospitality Lane, 1st Floor, San Bernardino CA 92415-0022 Public Service Counter Hours: 8:00 a.m. to 4:00 p.m., Monday-Friday 855 REC-CLRK www.sbcounty.gov/arc FICTITIOUS BUSINESS NAME: ADDITIONAL INFORMATION FORM Please TYPE or PRINT legibly in DARK ink only and use additional sheets as needed. Page ____ of ____ Additional Business Names (2) (3) (4) (5) (6) (7) County of Principal Place of Business Enter Start Date or N/A if not yet started ADDITIONAL REGISTRANTS *If a corp., LLC, etc., enter complete name, state of incorporation/organization/registration and registration number (3) Name of Individual Registrant (First name) (Middle initial only) (Last name) (3) Name of corporation or limited liability company as set out in the Articles of Inc/Org/Reg State of Inc./Org./Reg. Inc./Org./Reg. No. (3) Residence Street Address (Mailing address is NOT acceptable) City State Zip Code (4) Name of Individual Registrant (First name) (Middle initial only) (Last name) (4) Name of corporation or limited liability company as set out in the Articles of Inc/Org/Reg State of Inc./Org./Reg. Inc./Org./Reg. No. (4) Residence Street Address (Mailing address is NOT acceptable) City State Zip Code (5) Name of Individual Registrant (First name) (Middle initial only) (Last name) (5) Name of corporation or limited liability company as set out in the Articles of Inc/Org/Reg State of Inc./Org./Reg. Inc./Org./Reg. No. (5) Residence Street Address (Mailing address is NOT acceptable) City State Zip Code (6) Name of Individual Registrant (First name) (Middle initial only) (Last name) (6) Name of corporation or limited liability company as set out in the Articles of Inc/Org/Reg State of Inc./Org./Reg. Inc./Org./Reg. No. (6) Residence Street Address (Mailing address is NOT acceptable) City State Zip Code Signature is required on Page 1 and any additional pages BY SIGNING BELOW, 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 (B&P Code 17913). I am also aware that all information on this statement becomes Public Record upon filing. Printed Name Signature Date Rev. 01/03/11 American LegalNet, Inc. www.FormsWorkFlow.com
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