Free affidavit of identity 26Free affidavit of identity 26Free affidavit of identity 26
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The following person(s) is (are) doing business as:

(Please submit original and 3 copies; and enclose a self-addressed stamped envelope for the return mail.)
No Erasures, Alterations and/or White-outs.

Married Couple

(Insert N/A above if you haven't started to transact business)

INSTRUCTIONS FOR COMPLETION OF STATEMENT
Business and Professions Code Section 17913:
*
Where one asterisk appears in the form:
(a) Insert the fictitious business name or names
(b) Only those businesses operated at the same address and under the same ownership may be listed on one statement
*

*

Where two asterisks appear in the form:
(a) If the registrant has a place of business in this state, insert the street address and county of his or her principal place
of business in this state
(b) If the registrant has no place of business in this state, insert the street address and county of his or her principal place of
business outside this state and file with the Clerk of Sacramento County (B&P 17915)
(c) Ma