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Business Registration

Streamline DBA and Fictitious Business Name Filings

Simplify county DBA filings with a guided multi-step form for business and owner details, newspaper publication, photo ID upload, and a sworn e-signature.

Use This Template Free Preview

Espresso theme

formbuilder.ai/f/county-fictitious-business-name-dba-registration-owner-information-form

County Fictitious Business Name (DBA) Registration & Owner Information Form

Type of Filing

Prior FBN File Number (required

· · ·

Fictitious Business Name(s) to B

· · ·

Submit

This free Fictitious Business Name (DBA) Registration form template gives county clerk and recorder offices, legal document preparers, and business formation services a complete online version of the fictitious business name statement. Filers choose a filing type, such as a new filing, renewal, abandonment, or withdrawal, and enter the prior FBN file number when one applies. They then list the name or names to be registered and briefly describe the goods or services offered. They also note when the business first operated under the name and provide a principal street address (P.O. boxes and PMBs are not accepted) plus an optional mailing address.

The registrant section captures how the business is conducted, such as by an individual, partnership, corporation, LLC, or trust. It also collects the authorized signer's full name, title or capacity, residence address, phone number, and email. Entity filers add their legal name, state of organization, and entity file number. Spouses, domestic partners, general partners, or co-owners can be listed as additional registrants in the same submission.

The final step handles the items that commonly hold up DBA processing. Registrants explain how they will meet the newspaper publication requirement, upload a valid photo ID, and review and sign the sworn declaration. Required fields prevent incomplete statements from reaching your office, which means fewer rejected filings, less back-and-forth, and fewer in-person visits. Customize the wording, filing types, and instructions to match your county's rules, then embed the form on your website and start accepting DBA statements online.

3 Pages

20 Questions

~7min To complete

Free Included on every plan

Field types Short Text ×5 Address ×3 Dropdown ×2 Long Text Date Full Name Phone Email Repeatable Section Single Choice File Upload termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Business Name & Location 7 questions

Fictitious Business Name & Location

1 Type of Filing * Dropdown

2 Prior FBN File Number (required for renewals, abandonments, and withdrawals) Short Text

3 Fictitious Business Name(s) to Be Registered * Short Text

4 Nature of Business (briefly describe the goods or services offered) * Long Text

5 Date Business First Transacted Under This Name (leave blank if not yet started) Date

6 Principal Place of Business Street Address (P.O. Boxes and PMBs not accepted) * Address

7 Mailing Address (if different from principal place of business) Address

Page 2 Registrant & Owner Information 9 questions

Registrant & Owner Information

1 This Business Is Conducted By * Dropdown

2 Registrant / Authorized Signer Full Name * Full Name

3 Title or Capacity (e.g., Owner, General Partner, Managing Member, Corporate Officer, Trustee) * Short Text

4 Registrant Residence Address (entities: principal office address) * Address

5 Phone Number * Phone

6 Email Address * Email

7 Registrant Entity Legal Name (corporations, LLCs, LPs, LLPs, and trusts only) Short Text

8 State of Incorporation/Organization & Entity File Number Short Text

9 Additional Registrants (spouse, domestic partner, general partner, or co-owner) Repeatable Section

Page 3 Publication, Verification & Signature 4 questions

Publication, ID Verification & Signature

This is the final step of your Fictitious Business Name (DBA) filing. Tell us how you will meet the newspaper publication requirement, upload a valid photo ID, and review and sign the sworn declaration. Your statement cannot be processed until all required items on this page are complete.

1 How will you complete the newspaper publication requirement? * Single Choice

2 Government-Issued Photo ID (Driver's License, State ID, or Passport) * File Upload

3 I declare that all information in this statement is true and correct, and I understand that knowingly declaring false information may be punishable as a misdemeanor. I acknowledge that this filing does not by itself authorize use of this name in violation of the rights of another under federal, state, or common law, and that this statement must be published as required by law and renewed before it expires (typically five years from the filing date). * termsandconditions

4 Signature of Registrant or Authorized Signer * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.