Stanislaus County, CA · Stanislaus County
Statement of Abandonment of Use of Fictitious Business Name
This form lets a business registrant file with Stanislaus County to report that they have stopped using a fictitious business name.
At a glance
- Issued by
- City of Stanislaus County · Stanislaus County, Stanislaus County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- stancounty.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this statement when ceasing to transact business under a fictitious business name previously filed in the county. It asks for the name and street address being abandoned, details of the original filing, registrant and business information, and a signature from the appropriate person. The instructions also describe publication of the statement and filing an affidavit of publication.
Who needs it
A registrant who has stopped doing business under a fictitious business name filed in the previous five years uses this statement.
How to submit it
File it with the County Clerk-Recorder at P.O. Box 1670, Modesto, CA 95353. The instructions say to publish the statement once a week for four successive weeks and file an affidavit of publication after publication.
About notarization
The statement is signed without a notary; the registrant or authorized signer signs it, and no notarized or sworn attachment is identified.
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 name and address being abandoned, original filing details, registrant information, and the appropriate signature.
- 3
Arrange Publication
The instructions say to publish the statement once a week for four successive weeks and file an affidavit of publication.
- 4
File With the County
File the statement with the County Clerk-Recorder at P.O. Box 1670, Modesto, CA 95353.
Frequently asked questions
- Do I need a notary for the Statement of Abandonment?
- No. The form has a signature line but no notary block. The registrant or an authorized signer signs it; no notarized or sworn attachment is identified.
- How do I submit the abandonment statement?
- File it with the County Clerk-Recorder at P.O. Box 1670, Modesto, CA 95353. The instructions also require publication once a week for four successive weeks and filing an affidavit of publication.
- What information does the form ask for?
- It asks for the fictitious business name being abandoned, its street address, original filing details, registrant information, and the signature of the appropriate person.