El Dorado County, CA · El Dorado County

No notary required

Fictitious Business Name Statement

This form lets business owners or other registrants file a fictitious business name statement with the El Dorado County Recorder-Clerk.

At a glance

Issued by
City of El Dorado County · El Dorado County, El Dorado County, California
Notarization
Not required: file this form without a notary.
Official source
eldoradocounty.ca.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this form to file a new or renewal fictitious business name statement with the county. It asks for the business name and addresses, registrant information, business type, the date business began under the name, and registrant signatures. The form also states that identification must be presented at filing and that the statement must be published in a newspaper, with an affidavit of publication filed afterward.

Who needs it

A person or entity doing business under a fictitious business name in the county can use this form to file a new statement or renewal.

How to submit it

The form names the El Dorado County Recorder-Clerk at 360 Fair Lane, Placerville, CA 95667, and notes receipt by mail. It says the filing registrant must present acceptable personal identification.

About notarization

This document is signed without a notary; the registrant declares the information true and correct, then signs and prints their name.

How to submit this form

  1. 1

    Download the Form

    Download the Fictitious Business Name Statement PDF.

  2. 2

    Complete the Statement

    Enter the business name, addresses, registrant details, business type, and commencement date, then sign and print your name.

  3. 3

    Gather Identification

    The filing registrant must present a California driver's license or other government identification acceptable to the county clerk.

  4. 4

    Submit to the County

    Submit the statement to the Recorder-Clerk at the address listed on the form; the form notes receipt by mail.

  5. 5

    Complete Publication

    Publish the statement as described on the form and file an affidavit of publication with the county clerk.

Frequently asked questions

Do I need a notary for the Fictitious Business Name Statement?
No. The form asks the registrant to declare the information true and correct, then sign and print their name; it has no notary block.
How do I submit the Fictitious Business Name Statement?
The form lists the El Dorado County Recorder-Clerk at 360 Fair Lane, Placerville, CA 95667, and notes receipt by mail. It says the filing registrant must present acceptable personal identification.
What information does the statement ask for?
It asks for the fictitious business name, business and mailing addresses, registrant names and addresses, type of business, commencement date, and registrant signatures.
What happens after filing the statement?
The form says the statement must be published once a week for four successive weeks within 45 days of filing, and an affidavit of publication must then be filed with the county clerk.

Need something notarized?

This Fictitious Business Name Statement doesn’t need a notary, but if you have another El Dorado County form that does, a commissioned online notary can help.