Exercise Extreme Caution when using many of our free forms - or any legal material. While they may provide general ideas on format & content, validity requirements can and do vary greatly from state to state. Many MUST be Properly Modified for your own location and circumstances. (Hint: If in doubt it's usually safer to include unneeded clauses than to leave out necessary ones. . . . but it's even safer to consult a competent source or use current, state specific ones like ours mentioned below.) Also, we urge people (and lawyers too) to read our Relying On Legal Info FAQ.

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Statement of Fictitious or DBA Name

The following persons [list names, partnership, or corporation]
is/are conducting business as [set forth fictitious name] at
[address including street, city, county, and state]. The
complete names and addresses of the individuals or of each
general partner or name of corporation are as follows:

The business is conducted as [individual, general partnership,
limited partnership, unincorporated association, corporation, or
business trust].



Statement filed with the County Clerk of [County],
State of [State] on [month][day], [year].


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Statement of Fictitious or DBA Name