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FICTITIOUS BUSINESS NAME STATEMENT

County of Sacramento $ For first BUSINESS name and owner on STATEMENT Department of Finance Tax Collection and $ For each additional BUSINESS name on this STATEMENT BUSINESS License Unit $ For each additional BUSINESS owner on this STATEMENT 700 H Street, Room 1710, Sacramento, CA 95814. Make checks or money orders payable to Sacramento County Phone (916) 874-6644 fax (916) 874-8909 FICTITIOUS BUSINESS name STATEMENT . THIS IS NOT A BUSINESS LICENSE. TYPE OR PRINT CLEARLY MUST BE LEGIBLE. INSTRUCTIONS ON REVERSE.

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

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  Business, Name, Fictitious, Fictitious business name, Saccounty

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