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The Fictitious Business Name Statement form is a crucial document for individuals and entities seeking to operate under a name that is not their legal business name. This form, administered by the County of Sacramento's Department of Finance, requires detailed information about the business and its owners. To initiate the filing process, applicants must provide the principal place of business address, which cannot be a P.O. Box, and list any fictitious business names they wish to register. The form also mandates the full names and residential addresses of each business owner, ensuring transparency and accountability. Additionally, it outlines the type of business structure—be it an individual, partnership, corporation, or limited liability company—clarifying the legal framework within which the business operates. The filing incurs a fee, with specific costs associated with additional names or owners. Once filed, the statement is valid for five years, unless changes occur that necessitate a new filing. Furthermore, publication in a local newspaper is required to inform the public of the registered name. This process not only protects business owners but also upholds consumer rights by maintaining a public record of business identities.

Form Sample

County of Sacramento
Department of Finance Tax Collection and
Business License Unit
700 H Street, Room 1710, Sacramento, CA 95814
Phone (916) 874-6644 fax (916) 874-8909 www.finance.saccounty.net
FICTITIOUS BUSINESS NAME STATEMENT
THIS IS NOT A BUSINESS LICENSE
TYPE OR PRINT CLEARLY MUST BE LEGIBLE
INSTRUCTIONS ON REVERSE
WHEN FILING BY MAIL, PROVIDE SELF ADDRESSED STAMPED ENVELOPE. ALL INFORMATION IS PUBLIC RECORD
1
Street Address, City, State, Zip of Principal Place of Business. (P.O. Box or PMB not acceptable)
County
2
Fictitious Business Name(s) to be Filed (Section 17900 B & P Code)
(a)
(b)
(If more than 2 names, attach additional sheet)
3
Full Name & Complete Residence Address of Each Business Owner (P.O. Box or PMB not acceptable),
OR if a Corporation/LLC,
Corporation/LLC name and address as registered with Secretary of State (include State where incorporated)
Full Name Street Address City State Zip
(a)
(b)
(If more than 2 owners, attach additional sheet)
4
This business conducted by:
an Individual
General Partnership
Trust
Married Couple
Co-Partners
State or local Registered Domestic Partners
Corporation
Joint Venture
Unincorporated Association (other than a partnership)
5
Date began using business name ____________________ (write “N/A” if you have not yet begun conducting business)
Describe the type of Activities/Business ________________________
6
I declare that all information in this statement is true and correct. (A registrant who declares as true information which they know
to be false is guilty of a crime.)
Signed _________________________________________ (ORIGINAL/WET SIGNATURE REQUIRED)
Printed Name ___________________________________ Phone Number ___________________________________
_______________________________________________________
If a Corporation, Limited Liability Company (LLC), Limited Partnership (LP) or Limited Liability Partnership (LLP),
the following must also be completed:
Corporation/LLC Name _________________________________________
Officer Title Of Signer _________________________________________ (For a list of acceptable Officer Titles please see instructions (6b) on reverse)
In accordance with Section 17920 (a), a Fictitious Business Name Statement generally expires five years from the date it was filed with the County Clerk, except
as provided in Section 17920 (b), 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 (Section 14411 et seq., of the Business and Professions Code).
I hereby certify that this copy is a correct copy of the original Statement on file in my office.
DONNA ALLRED, COUNTY CLERK
BY: ________________________________
Deputy County Clerk ID Checked
FBN Statement (11-2019)
$44.00 For first business name and owner on statement
$ 8.00 For each additional business name on this statement
$ 8.00 For each additional business owner on this statement
Make checks or money orders payable to Sacramento County
NOTICE TO REGISTRANT PURSUANT TO SECTION 17924 BUSINESS & PROFESSIONS CODE (B & P Code)
Within 30 days after the fictitious business name statement has been filed with the County Clerk, the statement must be published in a
newspaper of general circulation in the county where the fictitious business name was filed. The statement must be published once a week for
four successive weeks with at least five days between each date of publication. An affidavit of publication must be filed with the county clerk
within 30 days after the completion of the publication. If the registrant has no place of business in this state, the notice shall be published in a
newspaper of general circulation in Sacramento County. (Section 17917 B & P Code, Section 6064 Government Code).
If refiling is required because the prior statement has expired, the refiling need not be published unless there has been a change in the
information in the expired statement, provided the refiling is filed within 40 days of the date the statement expired. (Section 17917 B & P Code).
Any person who executes, files, or publishes any fictitious business name statement, knowing that such statement is false, in whole or in part, is
guilty of a misdemeanor and upon conviction thereof shall be fined not to exceed one thousand dollars ($1,000.00). (Section 17930 B & P
Code).
According to Section 17900 B & P Code, “Fictitious Business Name Means:
“(1) In the case of an individual, a name that does not include the surname of the individual”
INSTRUCTIONS FOR COMPLETION OF STATEMENT (Sec. 17913, 17914, 17915 B & P Code)
Type or print legibly. (P.O. Box, postal drop box, mailing suite and c/o addresses are not acceptable for either the business or residence
address.)
1. Insert the street address and county of the principal place of business in California. The fictitious business name statement shall be filed
with the clerk of the county in which the registrant has his principal place of business or if the registrant has no place of business in
California, the Fictitious Business Name Statement shall be filed with the Clerk of Sacramento County.
2. Insert the fictitious business name or names if more than one name. Only those businesses operated at the same address may be listed on
one statement.
3. Individual: insert full name and residence address of the individual.
Married Couple: insert full name and residence address of both spouses.
Partnership, co-partnership, joint venture, limited partnership, limited liability partnership, or other association of persons: insert the full
name and residence address of each general partner.
Trust: insert the full name and residence address of each trustee.
Corporation: insert the name and address of the corporation as set out in its articles of incorporation, and the state of incorporation.
Limited Liability Company (LLC): insert the name and address of the LLC as set out in its articles of organization, and the state of
organization.
State or local Registered Domestic Partnership: insert full name and residence address of each domestic partner.
4. Indicate which of the terms best describes the ownership of the business.
5. Insert the date on which the registrant first began using business name(s) or expected date to begin. If the registrant has not yet begun
transacting business and the expected date is unknown, insert “N/A”.
Describe the type activities/business that is occurring at address in section 1
6a. If the registrant is an individual, the statement must be signed by the individual; if a partnership or other association of other persons, by a
general partner; if a trust, by a trustee; if a corporation, by an officer (title must be indicated); if a limited liability company, by an officer or a
manager (title must be indicated). (Signature of an agent is not acceptable)
6b. If the registrant is a Corporation, acceptable officer titles include President, Vice President, Secretary, Treasurer, CEO, CFO, COO.
If the registrant is an LLC, acceptable officer titles include President, Vice President, Secretary, Treasurer, CEO, CFO, COO, Member,
Managing Member, and Manager
IF YOU ARE FILING YOUR STATEMENT BY MAIL, PLEASE INCLUDE A SELF-ADDRESSED, STAMPED ENVELOPE FOR RETURN OF
YOUR ENDORSED COPIES. IF FILING IN-PERSON OR BY AN AGENT, THE REGISTRANT OR AGENT MUST PRESENT PERSONAL
IDENTIFICATION. ACCEPTED FORMS OF IDENTIFICATION ARE VALID CALIFORNIA DRIVERS LICENSE, CALIFORNIA ID, A
PASSPORT, OR OTHER FORM DEEMED ACCEPTABLE TO THE COUNTY CLERK.
TRADE NAME REGISTRATION (Sec. 14411, 14412, 14415, 14416 B&P Code)
The filing of articles of incorporation with the state and/or a fictitious business name statement in the county establishes a rebuttable
presumption within that county that the registrant or corporation has the exclusive right to use that business name, as well as any confusingly
similar name, if the registrant or corporation is the first to register such name and is actively engaged in a business utilizing the name. The
rebuttable presumption shall be applicable until the statement is abandoned or otherwise expires and no new statement has been filed by the
registrant.
EXPIRATION OF FICTITIOUS BUSINESS NAME STATEMENT (Sec. 17920 B&P Code)
(a) In accordance with Section 17920 (a), a Fictitious Business Name Statement generally expires five years from the date it was filed with the
County Clerk, unless the statement expires earlier under (b) or (c) below. A NEW FICTITIOUS BUSINESS NAME STATEMENT MUST BE
FILED BEFORE THE EXPIRATION.
(b) A fictitious business name statement expires 40 days after any change in the facts as set forth in the statement, except (1) a change in the
residence address of an individual, general partner, or trustee does not cause the statement to expire, and (2) the filing of a statement of
withdrawal from partnership by a withdrawing partner does not cause the statement to expire. A NEW STATEMENT MUST BE FILED
WITHIN 40 DAYS AFTER A CHANGE IN THE INFORMATION REQUIRED ON THIS STATEMENT.
(c) A fictitious business name statement expires when the registrant files a statement of abandonment of use of the fictitious business name
statement.
ONCE FILED, ALL INFORMATION ON THE FICTITIOUS BUSINESS NAME STATEMENT IS PUBLIC RECORD
For additional information on fictitious business names, refer to our Website at www.finance.saccounty.net

Document Specifications

Fact Name Description
Filing Fee The cost to file a Fictitious Business Name Statement in Sacramento County is $44 for the first business name and owner. Each additional business name or owner incurs an extra fee of $8.
Public Record All information submitted in the Fictitious Business Name Statement becomes public record, meaning it can be accessed by anyone.
Expiration Period According to Section 17920 of the Business and Professions Code, the statement generally expires five years after filing. However, it may expire sooner if there are changes in the information provided.
Publication Requirement Within 30 days of filing, the statement must be published in a newspaper of general circulation for four consecutive weeks, as mandated by Section 17924 of the Business and Professions Code.
Ownership Types The form accommodates various business structures, including individuals, partnerships, corporations, and LLCs. Each type requires specific information about the owners or officers.

Steps to Filling Out Fictitious Business Name Statement

Completing the Fictitious Business Name Statement form is a crucial step for individuals or businesses wishing to operate under a name that differs from their legal name. This process requires careful attention to detail to ensure all necessary information is accurately provided. Once the form is filled out, it should be submitted to the appropriate county clerk's office, along with the required fees. Following submission, there are additional steps to ensure compliance with local regulations.

  1. Obtain the Form: Download the Fictitious Business Name Statement form from the Sacramento County website or request a hard copy from the County Clerk's office.
  2. Fill in the Principal Place of Business: In the first section, provide the street address, city, state, and zip code of your principal place of business. Do not use a P.O. Box or PMB.
  3. List Fictitious Business Names: In the next section, write down the fictitious business name(s) you wish to register. If you have more than two names, attach an additional sheet.
  4. Provide Owner Information: Enter the full name and complete residence address of each business owner. If the business is a corporation or LLC, include the registered name and address as per the Secretary of State.
  5. Indicate Business Structure: Select the appropriate option that describes how the business is organized (e.g., individual, partnership, corporation).
  6. Enter Start Date: Write the date you began using the business name or expect to begin. If you have not yet started, indicate “N/A.”
  7. Describe Business Activities: Briefly describe the type of activities or business that will be conducted at the address provided.
  8. Sign the Form: Sign the statement, ensuring the signature is original. Include your printed name and phone number. If applicable, include the corporation or LLC name and the title of the signer.
  9. Prepare for Submission: If filing by mail, include a self-addressed stamped envelope for the return of endorsed copies. If filing in person, present valid identification.
  10. Pay the Filing Fee: Include the appropriate filing fee of $44 for the first business name and owner, and additional fees for extra names or owners.

After submitting the form, remember that the fictitious business name statement must be published in a local newspaper for four consecutive weeks. This step is essential to comply with local regulations. Additionally, keep track of the filing date, as the statement will expire five years from that date unless renewed or updated due to changes in business information.

More About Fictitious Business Name Statement

What is a Fictitious Business Name Statement?

A Fictitious Business Name Statement is a legal document that allows individuals or entities to register a business name that is different from their personal or corporate name. This statement is essential for ensuring that the business name is recognized by the public and is filed with the county clerk in the jurisdiction where the business operates. It serves to protect consumers by providing transparency about who is behind a business and is a requirement for conducting business under a name that does not include the owner's surname.

How much does it cost to file a Fictitious Business Name Statement?

The filing fee for a Fictitious Business Name Statement in Sacramento County is $44.00 for the first business name and owner listed on the statement. If additional business names or owners are included, there is an extra charge of $8.00 for each additional name and for each additional owner. Payment should be made via check or money order, payable to Sacramento County. It is important to ensure that all fees are paid to avoid delays in processing the application.

What is the process for filing a Fictitious Business Name Statement?

The process for filing a Fictitious Business Name Statement involves several steps. First, the applicant must complete the form accurately, providing the principal place of business address, the fictitious business name(s), and the full names and addresses of each business owner. The form must be legible and cannot include P.O. Box addresses. After completing the form, it can be filed in person or by mail with the County Clerk's office. If filing by mail, it is advisable to include a self-addressed stamped envelope for the return of endorsed copies. Once filed, the statement must be published in a newspaper of general circulation for four consecutive weeks, and an affidavit of publication must be submitted to the county clerk within 30 days of completion.

How long is a Fictitious Business Name Statement valid?

A Fictitious Business Name Statement is generally valid for five years from the date it is filed with the County Clerk. However, it may expire sooner if there are any changes in the information provided in the statement, such as a change in ownership or business structure. In such cases, a new statement must be filed within 40 days of the change. It is important for business owners to keep track of their filing status to ensure compliance and avoid potential legal issues.

Common mistakes

  1. Illegible Information: One common mistake is filling out the form in a way that is hard to read. Whether it’s handwriting that’s too messy or unclear printing, ensure that every detail is legible. This helps avoid delays and confusion.

  2. Incorrect Address: Another frequent error is providing a P.O. Box instead of a physical street address. The form specifically requires the principal place of business to be a street address, so make sure to double-check this detail.

  3. Missing Signatures: Failing to sign the form is a critical oversight. Every registrant must provide an original signature. Remember, electronic or stamped signatures are not acceptable.

  4. Omitting Required Information: Some people forget to include all necessary information, such as the full names and addresses of all business owners. Each owner's details must be complete and accurate.

  5. Not Following Publication Requirements: After filing, there’s a requirement to publish the statement in a local newspaper. Skipping this step can lead to complications, so be sure to follow through on this obligation within the specified time frame.

Documents used along the form

When filing a Fictitious Business Name Statement, several other documents may be required or beneficial to ensure compliance and proper business operation. Here’s a list of commonly used forms and documents that often accompany the Fictitious Business Name Statement.

  • Business License Application: This application is necessary for obtaining a license to operate a business legally within a specific jurisdiction. It typically requires details about the business structure, location, and nature of the business activities.
  • Partnership Agreement: If the business is a partnership, this document outlines the rights, responsibilities, and obligations of each partner. It serves as a legal framework for the partnership's operations and decision-making processes.
  • Articles of Incorporation: For businesses structured as corporations, this document is filed with the state to legally create the corporation. It includes essential details such as the corporation's name, purpose, and registered agent.
  • Operating Agreement: This is particularly important for Limited Liability Companies (LLCs). The operating agreement defines the management structure, roles of members, and operational procedures, helping to prevent disputes among members.
  • Sales Tax Permit: If the business sells taxable goods or services, a sales tax permit is often required. This document allows the business to collect sales tax from customers and remit it to the state.
  • Employer Identification Number (EIN): This number is issued by the IRS and is necessary for tax purposes. It is required for businesses that have employees or operate as a corporation or partnership.
  • Publication Affidavit: After filing the Fictitious Business Name Statement, businesses must publish the statement in a local newspaper. This affidavit serves as proof that the publication requirement has been fulfilled.
  • Withdrawal of Fictitious Business Name Statement: If a business decides to stop using a fictitious name, this document must be filed to formally withdraw the name from public record, preventing further use.

Understanding these additional forms and documents can help streamline the process of establishing and maintaining a business. Each plays a crucial role in ensuring that your business operates within legal boundaries and is recognized appropriately in your community.

Similar forms

The Fictitious Business Name Statement is similar to a Business License Application. Both documents are essential for operating a business legally within a jurisdiction. A Business License Application typically requires the owner to provide personal information, the business name, and the business address. This ensures that local authorities are aware of the business activities occurring in their area. Like the Fictitious Business Name Statement, the application serves to protect consumers by ensuring that businesses are registered and compliant with local regulations.

Another related document is the Articles of Incorporation. This document is filed when a business is forming a corporation. It includes details such as the corporation's name, address, and the names of its directors. Similar to the Fictitious Business Name Statement, Articles of Incorporation become part of the public record, allowing transparency about who owns and operates the business. Both documents are crucial for establishing the legitimacy of a business entity and providing necessary information to the public.

The Partnership Agreement is also comparable to the Fictitious Business Name Statement. This document outlines the terms and conditions of a partnership, including the responsibilities of each partner and how profits and losses will be shared. Like the Fictitious Business Name Statement, a Partnership Agreement is essential for ensuring that all parties involved are aware of their obligations and rights. Both documents serve to protect the interests of the business owners and provide clarity on operational matters.

A DBA (Doing Business As) Registration is another document that bears similarity to the Fictitious Business Name Statement. A DBA allows a business to operate under a name different from its legal name. Filing for a DBA typically requires similar information as the Fictitious Business Name Statement, such as the business name and owner details. Both documents are designed to inform the public about the actual owners behind a business name, enhancing transparency and accountability in business operations.

Lastly, the Trademark Registration application is relevant in this context. While it focuses on protecting a brand name or logo, it shares the goal of establishing rights to a business name. A Trademark Registration application requires the applicant to provide information about the name or logo being registered, similar to how the Fictitious Business Name Statement requires details about the business name and its owner. Both processes aim to prevent confusion in the marketplace and protect the interests of business owners against unauthorized use of their names or brands.

Dos and Don'ts

When filling out the Fictitious Business Name Statement form, it’s important to follow certain guidelines to ensure the process goes smoothly. Here’s a list of things you should and shouldn’t do:

  • Do: Type or print clearly. Ensure that all information is legible to avoid delays.
  • Do: Provide a physical street address for your principal place of business. P.O. Boxes are not acceptable.
  • Do: Include the full names and complete residence addresses of all business owners. This is crucial for accuracy.
  • Do: Sign the form with an original signature. Electronic signatures are not acceptable.
  • Don’t: Use abbreviations or nicknames for business names. The name should be the one you intend to operate under.
  • Don’t: Forget to include a self-addressed stamped envelope if filing by mail. This helps ensure you receive your endorsed copies promptly.

By keeping these tips in mind, you can help ensure that your filing process is efficient and correct. If you have any questions, don’t hesitate to reach out to the County Clerk’s office for assistance.

Misconceptions

Misconceptions about the Fictitious Business Name Statement form can lead to confusion. Here are eight common misunderstandings:

  1. It's just a business license. Many believe that filing this form automatically grants a business license. However, it does not. You still need to apply for a business license separately.
  2. Filing is optional. Some think they can skip this step if they don’t plan to use a business name right away. In reality, if you intend to operate under a fictitious name, you must file the statement.
  3. All information is confidential. Many assume that the details provided are private. In fact, all information on the form becomes public record once filed.
  4. Only individuals need to file. Some believe that only sole proprietors must file this statement. In truth, partnerships, corporations, and LLCs also need to file if they use a fictitious name.
  5. Filing lasts forever. There is a misconception that once filed, the statement remains valid indefinitely. However, it generally expires after five years unless updated or renewed.
  6. Multiple names can be filed on one form. People often think they can list any number of fictitious names on a single statement. Only names associated with the same business address can be included.
  7. Publication is optional. Some believe that they can file the statement without publishing it in a local newspaper. This is incorrect; publication is a requirement within 30 days of filing.
  8. Changes don’t require a new filing. Many think that minor changes to business details don’t need to be reported. However, any significant change requires a new statement to be filed within 40 days.

Key takeaways

Understanding the Fictitious Business Name Statement form is essential for anyone looking to operate a business under a name that is not their legal name. Here are nine key takeaways to consider:

  • Public Record: All information submitted is public, meaning it can be accessed by anyone.
  • Filing Fees: The initial fee is $44 for the first business name and owner, with additional names and owners costing $8 each.
  • Principal Place of Business: You must provide a physical address. P.O. Boxes are not acceptable.
  • Owner Information: Full names and addresses of all business owners must be included, with no P.O. Boxes allowed.
  • Signature Requirement: An original signature is required, affirming that the information is true and correct.
  • Expiration of Filing: The statement generally expires five years after filing, or 40 days after any changes to the information.
  • Publication Requirement: After filing, you must publish the statement in a local newspaper for four consecutive weeks.
  • Identification Needed: If filing in person, valid identification is required. Acceptable forms include a California driver’s license or passport.
  • Legal Implications: Filing false information can result in criminal charges, including fines up to $1,000.

These points highlight the importance of accuracy and compliance when filling out the Fictitious Business Name Statement form. Failure to adhere to these guidelines can lead to legal complications or delays in business operations.