Free affidavit of identity 23Free affidavit of identity 23Free affidavit of identity 23
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INSTRUCTIONS FOR FICTITIOUS BUSINESS NAME (FBN) STATEMENT APPLICATION AND AFFIDAVIT OF IDENTITY
The form must be legible - no erasures or whiteouts. Strikeovers acceptable if accompanied with initials.
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IN PERSON: Registrants will be required to present a completed FBN statement application; show valid government issued identification, and complete an Affidavit of Identity form.
BY MAIL: Registrants will be required to submit a completed FBN statement, and notarized Affidavit of Identity form.
OTHER/AGENT: Persons presenting FBN statement on behalf of the registrant must show a valid government issued identification and or notarized Affidavit of Identity form if by
mail.

Business and Professions Code Section 17913
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Where (1) appears on form:
a. Insert the fictitious business name (s).
b. Only those businesses operated at the same address and under the same ownership may be listed on one statement.
Where (2) appears on form:
a. If the registrant has a place o