Instructions For Completing And Filing Your FBN Statement

INSTRUCTIONS FOR COMPLETING AND FILING YOUR FBN STATEMENT (B&P Code § 17913)

Type or print legibly and firmly in black ink. Review the completed statement for errors. If the statement is filed with errors, it cannot be corrected without filing a new statement and paying the applicable fees.

Please submit the completed FBN Statement to our office for filing. Do not remove the carbon paper (if applicable). Copies will be provided to you. Illegible documents will be returned. Do not use correction fluid or any other means to make corrections to the statement. Submit cash (no cash by mail, please), a check (California bank, please), or money order payable to Ventura County Clerk and a self-addressed, stamped envelope (if mailed). If you have any questions about filing an FBN Statement, please contact our office at 654-2263.

A. Insert the fictitious business name or names. Only those businesses operated at the same street address may be listed on one statement. If you want to file more than one business name, number each name and use the Clerk’s Additional Information form to list additional names.
The filing of a fictitious name is subject to the following restrictions:

  • The name cannot include Corporation, Corp., Incorporated, or Inc., unless the registrant is a corporation.
  • The name cannot include the initials LLC, LC, or the words limited liability company (whether using the complete words or the abbreviations Ltd. or Co.), unless the registrant is a limited liability company registered with the State.
  • The name cannot include limited partnership or LP, unless the registrant is a limited partnership registered with the State.
  • The name cannot include registered limited liability partnership or RLLP, unless the registrant is a registered limited liability partnership registered with the State.
  • The name cannot include limited liability partnership or LLP, unless the registrant is a limited liability partnership registered with the State.

If the name includes any of the above words, the registrant MUST submit a copy of the articles of incorporation/organization/registration.

  • The name cannot include college or university, unless the registrant is authorized pursuant to Education Code § 94050.

B.  Insert the street address of the principal place of business in this state (mailing addresses such as P.O. Box, private mailbox (PMB), postal drop box, mailing suite, or c/o addresses are not acceptable.) If the registrant has no place of business in this state, insert the street address of the principal place of business outside this state; a statement must be filed with the Clerk of Sacramento County.

Insert the mailing address, if applicable. A private mailbox address (e.g., Mail Boxes Etc.) MUST include the letters PMB and box number following the street name (some examples would be: 2345 Erringer Road, Suite #108, PMB #999 or 1234 Ventura Road, PMB #999).

C. List the full name of EACH registrant (owner/partner) and his or her current residence address. Use the Clerk’s Additional Information form to list additional names of registrants:

    • Individual: Insert full name and current residence address* of the individual
      Partnership or other association of persons: Insert full name and current residence address* of EACH general partner.
      Business Trust: Insert full name and current address of EACH trustee.
      Corporation: Insert the name of the corporation as set out in the articles of incorporation and the state of incorporation.
      Limited Liability Company: Insert the name of the LLC as set out in the articles of organization and the state of organization.
      If the registrant is a trust, enter the full name and current residence address* of each trustee and the full name of the trust.
      * (Mailing addresses such as P.O. Box, PMB, postal drop box, mailing suite, and c/o addresses are not acceptable.)

D. Indicate whichever best describes the nature of the business.

E. If the registrant(s) has/have already commenced to transact business under the fictitious business name, check the first box and enter the date the business transactions began. If the registrant(s) has/have not yet commenced to transact business under the fictitious business name, check the second box and do not enter a date. Our computer records for your FBN Statement, displaying the date the registrant commenced to transact business, will show “Not Applicable.”

  1. Individual: The individual must sign. Partnership or other association of persons: A general partner must sign. Business Trust: A trustee must sign.
  2. Corporation: A corporate officer must sign and indicate his/her title (signature of an agent or an assistant officer is not acceptable). Limited Liability Company: An officer or manager must sign and indicate his/her title(signature of an agent is not acceptable).