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DBA FILING, TRADE NAME, COMPANY  NAME, FICTITIOUS BUSINESS NAME, ASSUMED NAME  DBA (DOING BUSINESS AS)


 $99 DBA / FBN  Filing & Publication

                                                                                          

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Name on Credit card you will use to buy our  service

 

  Need it to match with this form submission

 
     
Email            *  
  Type of Ownership:      Select the type of entity that most accurately describes your business' legal structure.
 When Did  Business  Started?  Not Started Yet? Click Here  * Give Best Estimate.. Do not give future dates
     
 DBA Doing Business  As Business Name you Want  Registered:   *  

     
     

Business Street  Address*

( NO P.O. Box here)
(P.O. Box
not acceptable)
 

City

City  

       State & Zip

Zip  

*C o u n- t- y Business is Located in

 
   

Owner's Name: *     

Who is filing the legal document?*


  1. Owner’s Name or Corporation or LLC Name if incorporated

    Residence Address Or Corporation's Address if Incorporated or LLC
        City State  Zip
           
 

  

    

 

*IF CORPORATION,    complete the next questions

 

IF NOT A CORPORATION OR LLC, CLICK HERE TO SKIP THIS SECTION

 

*IF CORPORATION,   Name of principal officer

Owner, President, Treasurer, Secretary, general partner, grantor, or trustor. 

*IF CORPORATION,  

 Corporation Certificate Number

 

IIf a corporation, please provide the corporation's state identification number
*IF CORPORATION,    State incorporated

 

 
Why Do You Apply for These Legal Document(s)?    *

 

 

 
Number of employees * expected in the next 12 months. Note: If the applicant does not expect to have any employees during the period, enter "-0-."     
Type of Business*  
Please Specify Type of Business Activity: BE SPECIFIC!!! ABSOLUTELY NECESSARY!! * Example: Selling widgets or computer consulting -
Principal type of products sold;  work done; products produced; or services provided.* BE SPECIFIC!!!  ABSOLUTELY NECESSARY!!
 

Name on Credit card you will use to buy our  service

 

  Need it to match with this form submission

 
 

Help us provide this service at this low price...

 

How Did You Find Us?
What Search Word (s) did you use?
 

*Please Note: We may need to contact you so we can  pick up the signed document - so please provide this contact info.

 

* Contact Name  
*Enter email again  
*Cell Phone or phone we can reach you  
*From what address can we pick up the document?    
Pick Up  Doc From Business Address  
Pick Up Doc From Residence Address  
Pick up from this  Address:  

 

                            AGREEMENT:


  • BY CLICKING ON THE CHECK  BOXES TO THE TERMS BELOW.

    I understand and agree that

    • This form will record the number of my computer

      • as evidence that I submitted this form and

      • agreed to to the agreement below

*You will be charged an  administrative fee of 15%  (minimum $15 and maximum $50) if you cancel your order FOR ANY REASON. 

*  NO REFUNDS AFTER WE SEND YOU THE COMPETED  FORMS BY EMAIL:  There will be no refund After we Email you the completed  Form. I.e., After you  purchase the service, submit  this form  and we complete and  send you the completed form by email.

* NOT LEGAL ADVICE: Neither xkr essex, inc.,  nor any of its employees or agents have provided you with any professional or legal advice.

*  YOU AUTHORIZE US:  You authorize the agents at Xkr Essex, Inc.  to obtain the  legal documents -  tax ids, and business licenses on your  behalf.

  By Typing my name / Signing Below, I Agree and Understand with all the above terms, conditions,  and  statements

Signature:* Please type your signature  Example: if your name is Michael Jackson, type /Michael Jackson/ 

Date:   *