Contract Packs / All Documents / Affidavit of Fictitious Business Name

Registration for use of a Fictitious Name is typically for public notice only and makes no presumption of the registrant's rights to use or own the name. This does not replace proper registration through the U.S. Patent Trademark Office for Trademark or Service Mark, nor does it protect you from the exercise of rights by others with the same or similar names. Company Name is seeking to engage in business under the fictitious name of Insert Fictitious Business Name here.

Company Name shall engage in business under this fictitious name at the following locations:

Insert locations, or attach a list in the case of numerous offices or branches. Company Name intends to use this Fictitious Business Name for: Insert a brief statement as to the intended use of the Fictitious Business Name and the activities to be carried out under its use.

The ownership of Company Name is comprised of the following Executives, Officers, Directors or Shareholders:

I, the undersigned, located at Address City, State, Postal Code, and being duly authorized to affirm such, do hereby swear that the information contained in this affidavit is true and accurate.

The name(s) of the agent(s), who shall be authorized to execute amendments to, withdrawals from or cancellation of this registration on behalf of all then-existing parties to the registration, shall be:

Insert additional agent, attorney or other third party who shall be eligible to execute, amend or cancel this registration. A Proof of Publication of a Notice of Intention to Use a Fictitious Name is filed with this affidavit.