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FICTITIOUS BUSINESS NAME STATEMENT

This space reserved for County Clerk FILE #_____ TYPE OF FILING (Check one) Original New Filing [Change(s) in facts from previous filing] Refile [No Change(s) in facts from previous filing] Previous file # _____ ID Mail OFFICE OF THE STANISLAUS COUNTY CLERK BOX 1670 1021 I Street, Suite 101 Modesto, CA 95353 (209) 525-5250 FICTITIOUS BUSINESS name STATEMENT FILING FEE $ FOR FIRST BUSINESS name ON STATEMENT $ FOR EACH ADDITIONAL BUSINESS name FILED ON SAME STATEMENT AND DOING BUSINESS AT THE SAME LOCATION $ FOR EACH ADDITIONAL OWNER IN EXCESS OF TWO OWNERS This space reserved for County Clerk The following person (persons) is (are) doing BUSINESS as: *_____ Print FICTITIOUS BUSINESS name (s) **_____|_____ Street address of principal place of BUSINESS Mailing address if different _____ |_____ City State Zip COUNTY City State Zip ** REGISTERED OWNER(S): 1.

State/Local Registered Domestic Partners An Unincorporated Association other than a partnership ... If the registrant is a state or local registered domestic partnership, by one of the domestic partners. ... must be once a week for four successive weeks and an affidavit of publication mustbe filed wit h the county clerk where the

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  Business, Name, Domestic, Testament, Affidavits, Partnership, Fictitious business name statement, Fictitious, Domestic partnership

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