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Notice Under Fictitious Name Law Pursuant to Section 865.09, Florida Statutes

NOTICE IS HEREBY GIVEN that the undersigned, desiring to engage in business under the fictitious name of

(Fictitious Name)

located at , in the County of , MARTIN

(Address of Business) (Name of County)

in the City of_______________, Florida ___ intends to register the said name with the Division (Zip)

of Corporations of the Florida Department of State, Tallahassee, Florida.

Dated at _______________, Florida, this _____ day of , (city)

(Print owner's name or name of corporation/company opening business)

The above notice is to be published one time in the Stuart News

Cost of one time advertisement is $50.00

Individuals must Prepay. Only Attorneys with a credit application on file with the newspaper will be billed.

Form and payment can be mailed-in, dropped off, faxed or e-mailed:

Mail this form with $50.00 payment to: Drop off or Fax this form with $50.00 payment to:

Treasure Coast Newspapers Stuart News

Attn: PPL Department 1939 S. Federal Highway

1939 S. Federal Hwy. Stuart, FL 34994

Stuart, FL 34994

E-mail: martinlegals@ Fax: 772-600-1450

CUSTOMER INFORMATION (Please fill out completely)

Customer Name: __________________________________________

Phone Number:________________________ Fax Number:___________________________________________

Address ____________________________________________________________________________________

City____________________________________________________State____________ Zip ________________

Email Address________________________________________________________________________________

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|(Visa, MasterCard or American Express) |

|Cardholder’s Name (PRINT) |

|Account No. |Expiration Date |

|Signature of Cardholder |

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