DocHub 521875494--PDF-this-statementFillable Online PDF this statement is a public record - City 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the TTX Cert# in the designated field at the top of the form.
3. In section 1, input your fictitious business name(s) or trade name (DBA). Ensure that all names are legible and properly formatted.
4. Provide the street address, city, state, and zip code of your principal place of business in section 2. Remember, P.O. Boxes are not acceptable.
5. Complete section 3 with the full names and residential addresses of all registrants/owners. Make sure to include their respective states of incorporation if applicable.
6. Indicate how your business is conducted by checking one box in section 4 that accurately describes your business structure.
7. Enter the exact date when you commenced transacting business under the fictitious name in section 5.
8. Finally, sign and date the form in section 6 as required, ensuring that all information is true and correct before submission.

Start filling out your form today for free using our platform!