Fictitious Name Renewal Form - State Of Florida
ADVERTISEMENT
1FICTITIOUS NAME RENEWAL FORM
Florida Department of State
Division of Corporations
APPLICATION FOR RENEWAL OF FICTITIOUS NAME
REGISTRATION #
l. Name and Mailing Address
3. FEI Number
4. Date Registered
If above mailing address is incorrect in any way, line through incorrect information
5. County of Principal
and enter correction in Block 2.
______________________
Place of Business
2. Mailing Address change if Applicable:
Applied for
_______________
Not Applicable
Suite, Apt.#, etc
6. Certificate of Status Desired
$10 Additional
________
Required
City
State
Zip Code
AN OWNER THAT IS A CORPORATION, LIMITED PARTNERSHIP OR OTHER BUSINESS ENTITY
MUST BE REGISTERED AND ACTIVE WITH THIS OFFICE.
7. CURRENT OWNER(S)
8. ADDITIONS/CHANGES TO OWNER(S)
DOCUMENT #
DELETE
DOCUMENT #
CHANGE
ADDITION
FEI #
FEI#
NAME
NAME
STREET ADDRESS
STREET ADDRESS
CITY-ST-ZIP
CITY-ST-ZIP
DOCUMENT #
DELETE
DOCUMENT #
CHANGE
ADDITION
FEI #
FEI #
NAME
NAME
STREET ADDRESS
STREET ADDRESS
CITY-STATE-ZIP
CITY-STATE-ZIP
DOCUMENT #
DELETE
DOCUMENT #
CHANGE
ADDITION
FEI #
FEI#
NAME
NAME
STREET ADDRESS
STREET ADDRESS
CITY-ST-ZIP
CITY-ST-ZIP
DOCUMENT #
DELETE
DOCUMENT #
CHANGE
ADDITION
FEI #
FEI #
NAME
NAME
STREET ADDRESS
STREET ADDRESS
CITY-STATE-ZIP
CITY-STATE-ZIP
9. I (we) the undersigned, being the sole (all the) party(ies) owning interest in the above fictitious name, certify that the information indicated on this form is true
and accurate. I (we) understand that the signature(s) below shall have the same legal effect as if made under oath. (At lease one signature required)
_____________________________________________________________________________________________________________________________
Signature of Owner
Date
Signature of Owner
Date
Daytime Phone Number: _____________________________________
Daytime Phone Number __________________________________________
MAKE CHECK PAYABLE TO DEPARTMENT OF STATE
FILING FEE $50.00
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dr-95b - Schedule Of Florida Sales Or Use Tax Credits Claimed On Repossessed Motor Vehicles Form - State Of Florida
Financial
Form Mllp-12f - Statement Of Intention To Do Business Under An Assumed Name Only Form - State Of Maine
Legal
Affidavit By General Partner Of A Foreign Limited Partnership Or Limited Liability Limited Partnership To Adopt An Alternate Name In The State Of Florida Form - Florida
Legal
Related Categories
Parent category: Legal