Gregory J. Smith - Assessor/Recorder/County Clerk

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Gregory J. Smith
Recorder/County Clerk

STATEMENT OF ABANDONMENT OF USE OF FICTITIOUS BUSINESS NAME - $25.00

(1) FICTITIOUS BUSINESS NAME (S)



2) LOCATED AT:	Address: City: State: County: Postal Code:
(Must have Street Address of Business including City, State, and Zip---- P.O. Box not acceptable)
Mailing Address:
(Optional)
(3) THE FICTITIOUS BUSINESS NAME REFERRED TO ABOVE WAS FILED IN SAN DIEGO COUNTY ON (mm/dd/yyyy): and assigned File No.

(4) THIS BUSINESS IS HEREBY REGISTERED BY THE FOLLOWING:
Owner’s Name or Corporation Name if incorporated Residence/Corporation/LLC Street Address(P.O. Box not acceptable) City State (2 digits) Zip Corporation or LLC - Enter State of Incorporation/Organization

Would you like a copy to send to a newspaper to meet the publications requirements?	$ 2.00 $ 2.00	Yes No
Would you like a copy for your records?	$ 2.00	Yes No