DBA Registration, Free Download 2026

The undersigned registrant hereby files this Fictitious Business Name Statement (also known as a "Doing Business As" or "DBA" filing) in accordance with the applicable fictitious name statutes of the State of [____________] and [County/Municipality] of [____________]. The legal name of the registrant is [____________], a [individual/corporation/limited liability company/partnership] organized under the laws of the State of [____________], with its principal place of business at [____________].

If the registrant is a business entity, the entity was formed on [____________] under file number [____________] and is currently in [active/good standing] status with the Secretary of State. The entity's registered agent for service of process is [____________], located at [____________]. The registrant's taxpayer identification number (EIN or SSN, as applicable) is on file with the filing office.

The registrant intends to transact business under the following fictitious business name(s): [____________] (the "Fictitious Name"). The registrant certifies that the Fictitious Name is not the true name of any person or entity known to the registrant and is distinguishable from any registered, reserved, or existing business name on file with the applicable filing authority. The registrant has conducted a reasonable search to confirm that the Fictitious Name does not infringe upon any existing trademark, service mark, or trade name.

The registrant shall use the Fictitious Name exclusively in connection with the business activities described herein and shall not authorize any other person or entity to use the Fictitious Name without the registrant's prior written consent. The registrant acknowledges that registration of the Fictitious Name does not confer exclusive rights thereto and does not constitute approval of a trademark or service mark under state or federal law.

The nature of the business to be conducted under the Fictitious Name is: [____________]. The business will engage in [description of principal business activities, products, or services]. The registrant certifies that the business activities described herein are lawful and comply with all applicable federal, state, and local laws, ordinances, and regulations, including any licensing, permitting, or regulatory approval requirements.

The registrant shall obtain and maintain all permits, licenses, and regulatory approvals required to conduct the business described herein under the Fictitious Name, including but not limited to business licenses, sales tax permits, professional licenses, and health or safety permits as required by the jurisdiction(s) in which the business operates.

The principal place of business for the activities conducted under the Fictitious Name is located at: [____________]. If the business operates at additional locations, the addresses of such locations are: [____________]. The registrant shall notify the filing authority within [thirty (30) / sixty (60)] days of any change in the principal place of business or the opening of additional business locations, as required by applicable law.

The mailing address for the business, if different from the principal place of business, is: [____________]. All official notices, correspondence, and service of process directed to the business operating under the Fictitious Name should be sent to the principal place of business unless the registrant has designated a separate address for such purposes with the filing authority.

The full legal name(s) and residence address(es) of all persons or entities conducting business under the Fictitious Name are as follows: [____________], residing at [____________]. If the registrant is a general partnership, the names and addresses of all general partners are listed above. Each registrant listed herein assumes joint and several liability for all obligations incurred in connection with the business conducted under the Fictitious Name.

The registrant commenced or intends to commence the transaction of business under the Fictitious Name on [____________]. If the registrant is an individual, the registrant certifies that he or she is at least eighteen (18) years of age and legally competent to transact business. If the registrant is an entity, the person executing this statement on behalf of the entity is duly authorized to do so.

The registrant hereby certifies, under penalty of perjury under the laws of the State of [____________], that the information contained in this Fictitious Business Name Statement is true and correct. The registrant understands that a false statement may subject the registrant to civil penalties, criminal prosecution, and the invalidation of this registration.

Signature: _____________________________ Printed Name: [____________] Title (if applicable): [____________] Date: [____________]. If multiple registrants exist, each registrant must sign below or execute a separate signature page, which shall be attached hereto and incorporated by reference.

This Fictitious Business Name Statement shall be filed with the [County Clerk / Secretary of State / applicable filing authority] of [____________] in accordance with applicable law. The filing fee of [$__________] accompanies this statement. The registrant acknowledges that this statement must be filed within [____________] days of the commencement of business under the Fictitious Name, or as otherwise required by applicable statute.

If required by applicable law, the registrant shall publish this Fictitious Business Name Statement in a newspaper of general circulation in the county of the principal place of business once a week for [four (4)] consecutive weeks and shall file proof of publication with the filing authority within [thirty (30)] days of the completion of publication. This registration shall expire [five (5)] years from the date of filing and must be renewed prior to expiration to remain effective.

This Fictitious Business Name Statement is filed pursuant to and governed by the fictitious business name statutes of the State of [____________], including [applicable statute citation]. The registrant acknowledges that failure to comply with applicable fictitious name statutes may result in the inability to maintain legal proceedings in the courts of the state under the Fictitious Name and may subject the registrant to penalties as provided by law.

The registrant shall comply with all applicable requirements for the use of fictitious business names, including the requirement to display the registrant's true legal name and the Fictitious Name on all contracts, invoices, and official business documents as required by applicable law. The registrant shall promptly file a statement of abandonment with the filing authority upon cessation of business under the Fictitious Name.