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The Fictitious Business Name Statement form is a crucial document for those operating a business under a name that isn't their own. This form, which must be filed with the county clerk's office, provides transparency and accountability in business operations. A key requirement is a valid government-issued photo ID for in-person filings. When completing the form, you will need to provide your business name, the address of your principal place of business, and information about the registered owners. It also asks you to indicate the type of business entity, whether it's an individual, partnership, LLC, or corporation. The date when you first started conducting business under the chosen name is also essential. By signing the document, you declare that the information provided is accurate; misrepresentations can lead to fines. Another important aspect is that the fictitious name statement typically expires five years after filing, although it could expire sooner if there are changes to the business structure or ownership. Lastly, the statement must be published in a local newspaper for four consecutive weeks to ensure public awareness. Understanding these components is vital for compliance and successful operation of your business.

Form Sample

275‐321 [Rev. 10/18]

MELISSA WILK, Alameda County Clerk-Recorder

1106 Madison Street, Oakland, CA 94607

Telephone: (510) 272-6362

Website: www.acgov.org

FICTITIOUS BUSINESS NAME STATEMENT

Pursuant to Business and Professions Code Sections 1790017930

PLEASE NOTE:

YOU WILL BE REQUIRED TO PRESENT A VALID GOVERNMENT ISSUED PHOTO ID TO FILE THIS STATEMENT IN PERSON.

TYPE OR PRINT LEGIBLY AND FIRMLY IN BLACK OR DARK BLUE INK ONLY

 

FILE NUMBER:

 

 

PLEASE READ INSTRUCTIONS ON BACK OF THIS FORM

(Do not write above this line)

 

 

 

 

A. * Print Fictitious Business Name (please number if more than one business name)

 

 

 

 

 

 

B. ** Street address of principal place of business

City

State

Zip

County

 

 

 

 

Mailing Address, if different

City

State

Zip

C. ***REGISTERED OWNER(S): (If more than four owners, attach The Additional Information Form showing owner’s information)

1.Registrant/Corp/LLC

Residence Address (P.O. Box not accepted)

City

State

Zip

If Corporation or LLC – Print State of Incorporation/Organization

3.Registrant/Corp/LLC

Residence Address (P.O. Box not accepted)

City

State

Zip

If Corporation or LLC – Print State of Incorporation/Organization

2.Registrant/Corp/LLC

Residence Address (P.O. Box not accepted)

City

State

Zip

If Corporation or LLC – Print State of Incorporation/Organization

4.Registrant/Corp/LLC

Residence Address (P.O. Box not accepted)

City

State

Zip

If Corporation or LLC – Print State of Incorporation/Organization

D. ****THIS BUSINESS IS CONDUCTED BY: (Check one)

 

 

an Individual

 

Married Couple

 

State or local registered Domestic Partners

 

 

Co-partners

 

 

a Joint Venture

 

a General Partnership

 

a Limited Liability Partnership

 

 

 

 

a Trust

 

 

 

 

 

 

 

 

 

 

a Corporation

 

a Limited Partnership

 

a Limited Liability Company

 

An Unincorporated association other than a partnership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E.*****Insert the date the registrant first commenced to transact business under the fictitious business name or names listed above.

(Insert N/A if you haven’t started to transact business)

I declare that all information in this statement is true and correct.

A registrant who declares as true any material matter pursuant to this section that the registrant knows to be false is guilty of a

misdemeanor punishable by a fine not to exceed one thousand dollars (1,000).

F. ******Registrant

 

Title

 

(Print name)

(Corporation, print name and title of officer. If LLC, print name and title of officer or manager.)

 

Registrant Signature

 

 

 

 

 

 

(See instructions for authorized signatories/titles)

 

This statement was filed with the Clerk-Recorder of Alameda County on the date indicated by the filing stamp in the upper right hand corner.

NOTICE: In accordance with subdivision (a) of Section 17920, a fictitious name 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 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. 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 (see Section 14411 et seq., Business and Professions Code).

White ‐ Clerk’s Copy Yellow Copy ‐ Bank & other Required Needs (Certified) Pink Copy ‐ Newspaper Copy Goldenrod Copy Registrant’s Copy

275‐321 [Rev. 10/18]

INSTRUCTIONS FOR COMPLETION OF FICTITIOUS BUSINESS NAME STATEMENT

THE INFORMATION BELOW IS NOT TO BE PUBLISHED (SEC. 17924, B&P)

REQUIREMENTS FOR FILING THE STATEMENT

Every person or entity who regularly transacts business in this state for profit using a fictitious business name shall file a fictitious business name (FBN) statement not later than 40 days from the date such business commences. The registrant shall file a new statement on or before the date of expiration of each FBN statement. The statement shall be filed in the county in which the principal place of business is located. If the principal place of business is outside this state, the statement shall be filed with the Clerk of Sacramento County.

CONTENTS OF THE STATEMENT (BUSINESS AND PROFESSIONS CODE SECTION 17913)

A. * Where one asterisk appears in the form:

(a)Insert the fictitious business name or names. (For additional business names use The Additional Information Form.)

(b)Only those businesses operated at the same address and under the same ownership may be listed on one statement.

(c)If the fictitious name includes Corporation, Corp, Incorporated, INC., PC, Limited Liability Company, LLP, or LLC, the registrant must also submit a state endorsed copy of the articles of incorporation or articles of organization for such name or for such registrant.

B.** Where two asterisks appear in the form:

(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)P.O. Box, postal drop box, mailing suite, or c/o addresses are not acceptable.

(c)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).

PERSONS REQUIRED ON STATEMENT (BUSINESS AND PROFESSIONS CODE SECTION 17913)

C. *** Where three asterisks appear in the form:

(a)If the registrant is an individual, insert his or her full name and residence address.

(b)If the registrants are a married couple, insert the full name and residence address of both parties to the marriage.

(c)If the registrant is a general partnership, co-partnership, 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.

D.**** Where four asterisks appear in the form:

(a)Check whichever of the terms listed on the front of the form best describes the nature of the business.

E.***** Where five asterisks appear in the form:

(a)Insert the date on which the registrant first commenced to transact business under the fictitious business name or names listed, if already transacting business under that name or names.

(b)Insert N/A if you have not yet commenced to transact business under the fictitious business name or names listed.

PERSONS REQUIRED TO SIGN STATEMENT (BUSINESS AND PROFESSIONS CODE SECTION 17914)

F. ****** Where six asterisk appears in the form:

The statement shall be signed as follows:

(a)If the registrant is an individual, by the individual.

(b)If the registrants are a married couple, by either party to the marriage.

(c)If the registrant is a general partnership, limited partnership, limited liability partnership, co-partnership, joint venture, or unincorporated association other than a partnership, by a general partner.

(d)If the registrant is a limited liability company, by a manager or officer. (Ex: Managing Member, Member, or Principal)

(e)If the registrant is a trust, by a trustee.

(f)If the registrant is a corporation, by an officer. (Ex: CEO, President, Secretary, Treasurer, Vice President)

(g) If the registrant is a state or local registered domestic partnership, by one of the domestic partners.

PLACE OF FILING STATEMENT (BUSINESS AND PROFESSIONS CODE SECTION 17915)

The fictitious business name statement shall be filed with the clerk of the county in which the registrant has his or her principal place of business in this state or, if the registrant has no place of business in this state, with the Clerk of Sacramento County. Nothing in this chapter shall preclude a person from filing a fictitious business name statement in a county other than that where the principal place of business is located, as long as the requirements of this subdivision are also met.

PUBLICATION OF NOTICE (BUSINESS AND PROFESSIONS CODE SECTION 17917)

Publication for Original, New Filings (renewal with change in facts from previous filing), or Refile

(a)Within 30 days after a fictitious business name statement has been filed, the registrant shall cause it to be published in a newspaper of general circulation in the county where the fictitious business name statement was filed or, if there is no such newspaper in that county, in a newspaper of general circulation in an adjoining county. The publication must be once a week for four successive weeks and an affidavit of publication must be filed with the county clerk where the fictitious business name statement was filed within 30 days after the completion of the publication.

(b)If a refiling is required because the prior statement has expired, the refiling need not be published, unless there has been a change in the information required in the expired statement, provided the refiling is filed within 40 days of the date the statement expired.

EXPIRATION OF FICTITIOUS BUSINESS NAME STATEMENT (BUSINESS AND PROFESSIONS CODE SECTION 17920)

(a)Unless the statement expires earlier under (b) or (c) below, a fictitious business name statement expires five years from the date it was filed.

A NEW STATEMENT MUST BE FILED BEFORE THE EXPIRATION DATE.

(b)A fictitious business name statement expires 40 days after any change in the facts 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 prior to the end of the five year term; and

(2)the filing of a statement of withdrawal from partnership by a withdrawing partner does not cause the statement to expire prior to the end of the five year term. A NEW STATEMENT MUST BE FILED WITHIN 40 DAYS AFTER A CHANGE IN THE FACTS.

(c)A fictitious business name statement expires when the registrant files a statement of abandonment of the fictitious business name described

in the statement.

PENALTY FOR EXECUTION, FILING OR PUBLICATION OF FALSE STATEMENT (BUSINESS AND PROFESSIONS CODE SECTION 17930)

Any person who executes, files, or publishes any statement under this chapter, knowing that such statement is false, in whole or in part, shall be guilty of a misdemeanor and upon conviction thereof shall be punished by a fine not to exceed one thousand dollars ($1,000).

Document Specifications

Fact Name Description
Filing Requirement A Fictitious Business Name Statement must be filed by anyone regularly conducting business in California under a fictitious name within 40 days of starting the business.
Expiration Period This statement generally expires five years from the filing date, unless changes to the information require a new filing within 40 days.
Governing Laws The Fictitious Business Name Statement is governed by California Business and Professions Code Sections 17900–17930.
Identification Requirement Applicants must present a valid government-issued photo ID when filing the statement in person.
Publication Requirement Published notice in a local newspaper is required within 30 days after filing. This must occur weekly for four consecutive weeks.
Penalties for False Statements Anyone who knowingly submits false information on the statement can face a misdemeanor charge and a fine up to $1,000.

Steps to Filling Out Fictitious Business Statement

Completing the Fictitious Business Statement is an essential step for individuals or entities intending to operate a business under a name that is not their own. The process requires careful attention to detail to ensure all required information is accurately provided. The following steps offer a straightforward guide to filling out the form.

  1. Obtain the form: Access the Fictitious Business Statement form from the Alameda County Clerk-Recorder's website or office.
  2. Fill in the File Number: Leave the top line blank, as this will be filled in by the clerk upon filing.
  3. Provide the Fictitious Business Name: Write down the fictitious business name or names in Section A. If there are multiple names, number them accordingly.
  4. Enter Address Information: In Section B, provide the street address of the principal place of business, city, state, zip code, and county. If the mailing address differs, include that information as well.
  5. List the Registered Owners: Section C requires details about the registered owners. If there are more than four owners, attach the Additional Information Form. Include each owner’s full name and residence address (P.O. boxes not accepted), noting the state of incorporation if applicable.
  6. Select Business Structure: In Section D, check the box that best describes how the business is conducted.
  7. Indicate Business Start Date: In Section E, enter the date the business first commenced operating under the fictitious name or write N/A if business has not yet started.
  8. Declare Information Accuracy: Sign and print the registrant's name and title in Section F. Ensure that the signature adheres to the instructions for authorized signatories.
  9. Present Valid Photo ID: When submitting the form, provide a valid government-issued photo ID if filing in person.
  10. Submit the Form: File the completed form with the Clerk-Recorder of Alameda County, either in person or by mail, as needed.

More About Fictitious Business Statement

What is a Fictitious Business Statement, and why do I need one?

A Fictitious Business Statement (FBS) is a document that registers a business name you intend to use that is different from your own name or your legal business entity. This is essential if you want to operate a business under a name that does not accurately represent the owners. It ensures transparency in business operations and allows consumers to identify the responsible parties behind a business name.

How do I file a Fictitious Business Statement?

To file, you must first gather all necessary information about your business, including the fictitious business name, the principal business address, and the details of the owners. The completed form must be submitted in person at your county’s Clerk-Recorder’s office, along with a valid government-issued photo ID. Note that different counties may have different locations for filing.

What information is required on the Fictitious Business Statement?

The statement requires several pieces of information: the fictitious business name, the address of your principal place of business, and the names and addresses of the registered owners. If you operate multiple business names, each must be officially listed. If your business is incorporated or an LLC, you’ll also need to submit proof of that registration.

When do I need to file the Fictitious Business Statement?

You must file the statement within 40 days of starting to conduct business under the fictitious name. This time frame helps ensure you are compliant with local regulations. If you fail to file within this period, you might face penalties.

What happens if I forget to renew my Fictitious Business Statement?

A Fictitious Business Statement generally expires five years from the date it was filed. If you do not renew it, the statement expires, and you will not be allowed to conduct business under that name. You will need to file a new statement to continue using the business name, preferably before the expiration date to avoid any disruptions.

Is it necessary to publish my Fictitious Business Statement?

Yes, after filing the statement, you must publish it in a newspaper of general circulation within the county where you filed it. This publication must occur within 30 days and continues once a week for four consecutive weeks. After publication, an affidavit must be filed with the county clerk to confirm it has been done.

What are the penalties for providing false information on the Fictitious Business Statement?

Filing a Fictitious Business Statement with false information is taken seriously. If you knowingly submit inaccurate details, you could be charged with a misdemeanor, which may result in a fine up to $1,000. It is essential that all information provided in the statement be accurate to avoid these legal consequences.

Where can I find more information or assistance?

You can contact the Clerk-Recorder’s office in your county for specific questions or further assistance. In Alameda County, you can reach out at (510) 272-6362 or visit their website at www.acgov.org. They can provide additional guidelines and answer any specific inquiries you may have regarding the filing process.

Common mistakes

  1. Illegibility: Many people do not print or type the information clearly. Ensure that the form is filled out in black or dark blue ink and is legible. Illegible writing can lead to processing delays or rejections.

  2. Incorrect Ownership Information: Individuals often forget to include all registered owners' full names and addresses. Every owner must be listed, or, if there are more than four owners, an additional information form should be attached.

  3. Use of P.O. Box: Registrants sometimes provide a P.O. Box for their principal business address. This is not acceptable. The physical street address must be included instead.

  4. Filing in Wrong County: Filing in a county other than where the principal business is located can cause issues. Ensure that the statement is filed in the correct county to avoid complications.

  5. Missing Signature: Some individuals forget to sign the document. A registrant must sign the form, and if the registrant is a corporation or LLC, a manager’s or officer’s signature is required.

  6. Ignoring Filing Deadlines: Failing to file within 40 days of starting business under the fictitious name is a common oversight. Remember, the filing of a new statement is necessary before the expiration of the current statement.

Documents used along the form

When preparing to file a Fictitious Business Name Statement, it's essential to gather various supporting documents and forms that often accompany the main application. These documents play crucial roles in ensuring compliance and maintaining transparency in business operations.

  • Additional Information Form: This form is used when there are more than four owners of the business. It helps gather detailed information about all owners, ensuring that all parties are properly documented.
  • Articles of Incorporation or Organization: Required for businesses formed as corporations or limited liability companies (LLCs). These documents verify the legal formation and existence of the entity operating under the fictitious name.
  • Affidavit of Publication: After filing the fictitious business name statement, the business must publish a notice in a designated newspaper. This form is used to confirm that the publication was completed in compliance with the legal requirements.
  • Business License Application: Depending on the jurisdiction, businesses may need a separate license to operate legally. This application ensures that the business adheres to local regulations.
  • Tax Registration Forms: Businesses need to register with the appropriate tax authorities. This form is essential for obtaining an employer identification number (EIN) and fulfilling tax obligations.
  • Certificate of Good Standing: If the business is a corporation or LLC, this document verifies that it is in good standing with the state, confirming compliance with state laws and regulations.

Understanding these documents and their purposes enhances your readiness to navigate the business registration process effectively. By ensuring all necessary paperwork is in order, you can focus on growing your business with a solid legal foundation.

Similar forms

The Business License Application is essential for individuals or companies wishing to operate a business legally within a certain jurisdiction. Similar to a Fictitious Business Statement, it collects foundational details such as the business name, owner information, and address. Both documents serve as formal registrations, ensuring that the business is recognized by the local government and complies with applicable regulations.

The Partnership Agreement outlines the relationships, roles, and responsibilities of business partners. Like the Fictitious Business Statement, it includes information about participants involved in the business. This document clarifies ownership stakes and operational procedures, complementing the registration process that a fictitious name statement initiates.

The Articles of Incorporation is required for forming a corporation. Similar to a Fictitious Business Statement, this document provides critical information about the company, such as its name and address, and designated officers. While the fictitious business name is meant for businesses without a formal legal structure, the Articles establish a legitimate entity recognized by the state.

The Limited Liability Company (LLC) Formation Document serves as the foundation for establishing an LLC. Like the Fictitious Business Statement, it requires details about the business name and principal office. This document facilitates legal recognition and protects the owners from personal liability, much like how registering a fictitious name protects the public interest.

The Assumed Name Certificate is another document closely related to the Fictitious Business Statement. It serves to register a name that a business operates under, ensuring that the name is not misleading to the public. Both documents aim to provide transparency and protect consumers against fraudulent entities.

The DBA (Doing Business As) Registration is necessary for a business to use an operating name without forming a new legal entity. Just like the Fictitious Business Statement, this document helps identify the owners and gives the business legal standing under its chosen name. It is crucial for branding and marketing, while ensuring compliance with local laws.

The Vendor Registration Form is important for businesses wishing to supply goods or services to government entities. Similar to a Fictitious Business Statement, it necessitates owner information, business name, and operational details. This document assures transparency and regulatory compliance when engaging with public sector opportunities.

The Nonprofit Organization Registration is vital for charities and similar organizations. It functions like the Fictitious Business Statement by providing essential identification and ownership details. Both documents are required to comply with legal standards and to ensure that the organization operates within defined guidelines.

The Franchise Disclosure Document (FDD) is critical for franchisors to provide potential franchisees with detailed information about the franchise. This document shares similarities with the Fictitious Business Statement in that it outlines responsibilities, fees, and business operations. Both documents foster transparency and protect consumer interests by providing essential information before commitments are made.

The Trade Name Registration is required for businesses using a name that differs from the legal name under which they operate. This document bears a close resemblance to the Fictitious Business Statement, as both serve the purpose of public disclosure and help prevent consumer confusion regarding the business entity's identity. Each assures compliance with local regulations regarding business naming conventions.

Dos and Don'ts

When filling out the Fictitious Business Statement form, it is crucial to adhere to specific guidelines to ensure accuracy and compliance. The following list outlines key dos and don’ts:

  • Do print your fictitious business name clearly and legibly.
  • Do provide the accurate street address of your principal place of business.
  • Do include the full names and addresses of all registered owners.
  • Do check the appropriate box to indicate the nature of your business structure.
  • Don’t use a P.O. Box for the business address; it is not acceptable.
  • Don’t provide false information; ensure all details are truthful and accurate.
  • Don’t forget to sign the statement where required to validate it.

Misconceptions

  • Misconception 1: The Fictitious Business Name Statement is optional.

    This is incorrect. Anyone doing business under a fictitious name in California must file this statement within 40 days of commencing business. Failure to do so can result in penalties.

  • Misconception 2: A P.O. Box can be used as a business address.

    In fact, only a physical street address is acceptable for filing. P.O. Boxes and similar addresses are not permitted.

  • Misconception 3: You can file the statement anywhere in California.

    The statement must be filed in the county where your principal place of business is located. If you don’t have a physical presence in California, you must file with Sacramento County.

  • Misconception 4: All business information is public, including owner details.

    While the business name and basic details are public, specific owner information may not necessarily be published.

  • Misconception 5: Filing is a one-time requirement.

    This is not true. The statement must be renewed every five years, or sooner if any of the information changes.

  • Misconception 6: You can file online without any ID.

    A valid government-issued photo ID is required to file the statement in person, and many counties have specific requirements for online filing as well.

  • Misconception 7: The statement protects your business name legally.

    While it registers your business name, the filing does not provide legal protection against others using the same or a similar name. Separate trademark registration may be necessary for that.

  • Misconception 8: Anyone can sign the statement on behalf of the entity.

    This is misleading. Only authorized individuals, such as owners or designated officers, can sign the form.

  • Misconception 9: Publication of the statement is not necessary.

    After filing, you must publish the statement in a newspaper for four consecutive weeks to meet legal requirements.

  • Misconception 10: You can disregard changes in business structure.

    Any changes in ownership or business structure require you to file a new statement within 40 days to remain compliant.

Key takeaways

Filling out and using a Fictitious Business Statement form is an important step for anyone looking to operate under a business name that is not their own legal name. Here are some key takeaways to keep in mind:

  • Make sure to have a valid government-issued photo ID when filing in person. This is a requirement for all registrants.
  • Fill out the form using black or dark blue ink for clarity. It's essential to print legibly and firmly.
  • List the fictitious business names clearly. If there are multiple names, number them appropriately.
  • Provide a street address for your principal place of business. P.O. Boxes cannot be used as a valid address.
  • Identify all registered owners of the business. If there are more than four, you'll need to use an additional information form.
  • Check the box that best describes the legal structure of your business, whether it’s a sole proprietorship, partnership, LLC, or corporation.
  • Enter the date when you first began doing business under the fictitious name. If you haven't started yet, indicate that with "N/A."
  • Understand that the Fictitious Business Name Statement typically expires five years from the filing date unless changes occur that require re-filing.
  • Publication of the statement in a local newspaper is mandatory. Ensure it runs for four consecutive weeks after filing.
  • Be aware of the penalties for false statements. Providing incorrect information can lead to hefty fines.

Following these guidelines can help ensure that your filing process goes smoothly and that you remain in compliance with local laws regarding fictitious business names.