Fictitious Business Name Statement – Certified/Plain Copy Request
(for Santa Cruz County only)
Please Note: If records are in storage it may take as long as 2 weeks to obtain a copy.
Name of Business _____________________________________________________________________________________________
Fictitious Business Name Statement Number _______________________________________________________________________
(You can locate this number online at: https://www.sccoclerk.us/
Certified ($7 per copy) ____________ Plain copy ($1 per copy): ____________
Name of Requestor: _______________________________________
Phone/email: ________________________________________
Address: ____________________________________________________________________________________________________
**If a copy of the document cannot be provided, the fee will be retained for the file search and a notification letter
sent.
(For Office Use Only)
Total Fees Paid: $ _______________ Date mailed: _____________________ Pick-up date: _________________
. . Rev. 07/2020
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