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DBA / Fictitious Business Name Statement

Filing to register a 'doing business as' name, allowing a business to operate under a name different from its legal entity name.

PDF TemplateUse the instructions below to complete this form

Instructions

Provide the fictitious business name and the legal name of the registrant (individual or entity). State the business address and type of business. File with the county clerk or Secretary of State depending on your state. Many states require publication in a local newspaper after filing. DBA registrations typically expire after 5 years and must be renewed.