Name:



Name: _____________________________________________

Address: ___________________________________________

City: _______________________ State:____ Zip: _________

Phone: _______________________________

Signature: _______________________________________

FICTITIOUS NAME NOTICE

Notice is hereby given that _______________________

and ___________________ owner (co-owners, sole-owner),

desiring to engage in business under the fictitious name

of “________________________________” located in

____________County, Florida, intends to register the said name

with the Division of Corporations, Florida Department of State,

pursuant to section 865.09 of the Florida Statutes.

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