El Dorado County, CA · El Dorado County
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
Download the Form
Download the Fictitious Business Name Statement PDF.
- 2
Complete the Statement
Enter the business name, addresses, registrant details, business type, and commencement date, then sign and print your name.
- 3
Gather Identification
The filing registrant must present a California driver's license or other government identification acceptable to the county clerk.
- 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
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.
