Amador County, CA · Amador County
Fictitious Business Name Statement
This form records a fictitious business name and its registrants for individuals or businesses filing with the Amador County Clerk.
At a glance
- Issued by
- City of Amador County · Amador County, Amador County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- amadorcounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this statement to report a fictitious business name, the business address, registrant names and mailing addresses, ownership type, and the date business began or N/A if it has not begun. The form provides options for a new filing, a change in facts, or a refile. It also describes publication requirements for original and new filings.
Who needs it
Individuals and business registrants using a fictitious business name file this statement with the county clerk.
How to submit it
The form lists the Amador County Clerk/Recorder at 810 Court Street, Jackson, CA 95642-2132, and a filing fee of $33 plus $5 for each additional business name or registrant owner.
About notarization
This document is signed and dated without a notary; the form does not identify any attachment or related step as requiring notarization or a sworn statement.
How to submit this form
- 1
Download the Form
Download the Fictitious Business Name Statement.
- 2
Complete the Statement
Enter the business name, address, registrant information, business type, and commencement date or N/A.
- 3
Gather Additional Sheets
If there are more than four registrants, attach an additional sheet.
- 4
Submit to the County Clerk
Submit the statement to the Amador County Clerk/Recorder at the address listed on the form and include the stated filing fee.
Frequently asked questions
- What does the Fictitious Business Name Statement ask for?
- It asks for the fictitious business name, business and mailing addresses, registrant details, business type, commencement date, and a registrant signature.
- Who files this statement?
- Individuals and business registrants using a fictitious business name file the statement with the county clerk. The form includes options for new filings, changes in facts, and refiling.
- Do I need a notary for the Fictitious Business Name Statement?
- No. This document is signed and dated without a notary. The form does not identify any attachment or related step as requiring notarization or a sworn statement.
- How do I submit the Fictitious Business Name Statement?
- The form lists the Amador County Clerk/Recorder at 810 Court Street, Jackson, CA 95642-2132. It also lists a $33 filing fee, plus $5 for each additional business name or registrant owner.