Lassen County, CA · Lassen County
Statement of Abandonment of Use of Fictitious Business Name
This statement reports that a person or business has stopped using a fictitious business name previously filed with the Lassen County Clerk.
At a glance
- Issued by
- City of Lassen County · Lassen County, Lassen County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- lassencounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This statement records that a person or business has stopped using a fictitious business name previously filed with the Lassen County Clerk. Use it to identify the abandoned name and business location, the prior filing date and file number, who conducted the business, and the signer. The form also provides space for mailing details and a Lassen County file number.
Who needs it
A person or business that has stopped using a fictitious business name previously filed with the Lassen County Clerk can complete this statement.
How to submit it
Mail it to the recipient address entered in the “Filing Requested By and When Filed, Mail To” section; the form provides no fixed county mailing address.
About notarization
This statement is signed without a notary; it identifies no notarized attachment or sworn step, so the signer just signs it.
How to submit this form
- 1
Download the Form
Download the Statement of Abandonment of Use of Fictitious Business Name PDF.
- 2
Complete the Statement
Enter the abandoned business name and location, prior filing details, business-conducted-by information, and signer details.
- 3
Add Mailing Details
Complete the “Filing Requested By and When Filed, Mail To” section with the recipient's mailing information.
- 4
Sign and Mail
Sign the statement and mail it to the recipient address entered in the form.
Frequently asked questions
- What does this abandonment statement report?
- It reports that a person or business has abandoned use of a fictitious business name previously filed with the Lassen County Clerk.
- What information does the form ask for?
- The form asks for the fictitious business name and location, the prior filing date and file number, who conducted the business, signer details, and mailing information.
- Do I need a notary for this abandonment statement?
- No. The statement has no notary block and identifies no notarized attachment or sworn step; the signer just signs it.
- How do I submit this abandonment statement?
- Mail it to the recipient address entered in the form’s “Filing Requested By and When Filed, Mail To” section. The form does not list a fixed county mailing address.