Siskiyou County, CA · Siskiyou County

No notary required

Statement of Withdrawal from Partnership

A withdrawing general partner files this statement with the Siskiyou County Clerk to document withdrawal from a partnership operating under a fictitious business name.

At a glance

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

What this form is

This form records a general partner’s withdrawal from a partnership operating under a fictitious business name. The instructions say a withdrawing general partner may file it with the County Clerk where the partnership filed its fictitious business name statement; publication may also be required unless notice of dissolution was published. The form asks for the business name, original file information, registrant details, and the withdrawing partner’s signature.

Who needs it

A general partner withdrawing from a partnership that has regularly transacted business using a fictitious business name may file this statement.

How to submit it

File the statement with the County Clerk at 311 4th St., Room 201, Yreka, CA 96097; the form lists a $14.50 filing fee.

About notarization

This document is signed without a notary; the withdrawing partner signs and dates the statement, and the instructions also mention filing an affidavit of publication.

How to submit this form

  1. 1

    Download the Form

    Download the Statement of Withdrawal from Partnership PDF.

  2. 2

    Complete the Statement

    Type or print legibly in black ink and enter the original file number, business name, principal address, and withdrawing registrant details.

  3. 3

    Sign and Date

    The withdrawing partner must sign the statement; each withdrawing partner must sign if more than one is included.

  4. 4

    Submit to the County Clerk

    File the statement with the County Clerk at 311 4th St., Room 201, Yreka, CA 96097. The form lists a $14.50 filing fee.

Frequently asked questions

Do I need a notary for the Statement of Withdrawal from Partnership?
No. The document has no notary block; the withdrawing partner signs and dates it. If publication is required, the instructions say to file an affidavit of publication.
How do I submit the withdrawal statement?
File it with the County Clerk at 311 4th St., Room 201, Yreka, CA 96097. The form lists a $14.50 filing fee.
Who can file this statement?
The instructions say a person who is a general partner in a partnership using a fictitious business name may file upon withdrawing as a general partner.
Is publication required after filing?
The instructions say publication is required unless notice of the partnership’s dissolution has been published. They also describe filing an affidavit of publication with the County Clerk.

Need something notarized?

This Statement of Withdrawal from Partnership doesn’t need a notary, but if you have another Siskiyou County form that does, a commissioned online notary can help.