Fictitious Name Submission

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Notice Under Fictitious Name Law

Daily Record & Observer will not be responsible for publishing a name that may already be used. Notice will be promptly published in the Jacksonville Daily Record.
* required fields

To be published in: * County.

According to Florida Statute Number 865.09 NOTICE IS HEREBY GIVEN that the undersigned, desiring to engage in business under the Fictitious Name of *
located at (Address of Business) *	in the City of *
County: * County, State of * (Zip Code) *
intends to register the said name with the Division of Corporations of the Department of State, Tallahassee, Florida.
Dated at Jacksonville, Florida, this day of , .
(Business Owner) *	(If incorporated, name of Officer of Corporation)
The above notice is to be published one time in the Jacksonville Daily Record. Cost of one time advertisement is $32.50, which includes proof of publication.
Proof of publication will be provided to the address entered below.

You will receive a Proof of Publication. How would you prefer to receive it?	.*.

Phone Number:	*
E-mail Address:	*
Company:	*
Name:	*
Address:	*
City:	*
State:	* Zip: *
Credit Card Information
Credit Card:	*
Expiration: (MM/YY)	*
CVV2 Security Code: What is this?	*
First name on card:	*
Last name on card:	*
Zip:	*
The zip code where the credit card billing statement is sent is required for security purposes