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  1. Withdrawal Of Partner From Fictitious Business Name Statement
    • After filling any form you must personally appear, with valid ID, within 10 working days, at the Clerk-Recorders Office, located in the Hall of Records:
      155 Nelson Avenue
    • These documents will not be sent to you; you must come to our office to pick them up. All fees will be calculated and must be paid at that time.
    • The filing fee is $36.
    • The Statement of Withdrawal from Partnership Operating under a fictitious business name must be published in a newspaper once a week for four successive weeks and an affidavit of publication filed with the County Clerk within 30 days after publication has been accomplished. The statement should be published in a newspaper of general circulation in the county where the principal place of business is located. The statement should be published in such a county in a newspaper that circulates in the area where the business is conducted. (Business and Professions Code 17924).
  2. Principal Place of Business

  3. I declare that all information in this statement is true and correct. (A registrant who declares as true any material matter pursuant to B&P 17913 that the registrant knows to be false is guilty of a misdemeanor punishable by fine not to exceed one thousand dollars ($1,000)*
  4. Leave This Blank:

  5. This field is not part of the form submission.