MARK A. LUNN
Ventura County Clerk and Recorder
800South Victoria Avenue Ventura, CA 93009-1260
(805)654-2263 website: recorder.countyofventura.org
STATEMENT OF WITHDRAWAL FROM THE PARTNERSHIP OPERATING UNDER A FICTITIOUS BUSINESS NAME
Return Mailing Address
Name:
Address:
See reverse side for instructions
Registrar-Recorder/County Clerk's Filing Stamp
1.Submit original Withdrawal with original signature(s)
2.Filing fee $39.00 plus $10.00 for each additional business name.
3.Mail a check or money order to the address above. Provide a self addressed stamped envelope.
THE FOLLOWING PERSON(S) HAS/HAVE WITHDRAWN AS A GERNERAL PARTNER FROM THE PARTNERSHIP OPERATING UNDER THE FICTITIOUS BUSINESS NAME
Fictitious Business Name (s) (Business name being withdrawn) |
(Type or Print Legibly) |
1_________________________________________________________ |
2 _________________________________________________ |
__________________________________________________________________________________________________
Street Address of Principal Place of Business |
City |
State |
Zip Code |
The date on which the fictitious business name being withdrawn was filed:
The file number to the fictitious business name being withdrawn:
The county where the fictitious business name was filed:
__________________________________________________________________________________________________
Full Name of Withdrawing Partner
__________________________________________________________________________________________________
Residence Address (P.O. Box or PMB are not acceptable)City State Zip Code
__________________________________________________________________________________________________
Full Name of Withdrawing Partner
___________________________________________________________________________________________________
Residence Address (P.O. Box or PMB are not acceptable)CityState Zip Code
___________________________________________________________________________________________________
Full Name of Withdrawing Partner
___________________________________________________________________________________________________
Residence Address (P.O. Box or PMB are not acceptable) |
City |
State |
Zip Code |
I declare that all information in this statement is true and correct. (A registrant who declares as true information which he or she knows to be false is guilty of a crime.)
Signature of withdrawing partner(s) / print name next to signature
1._______________________________________________________________________________________________________________________________________
2._______________________________________________________________________________________________________________________________________
This statement was filed with the County Clerk of Ventura on the date indicated by the file stamp above.
CCR CLK 03 REV 09/2010
INSTRUCTIONS FOR COMPLETION OF
STATEMENT OF WITHDRAWAL FROM THE PARTNERSHIP OPERATING UNDER A FICTITIOUS BUSINESS NAME
Please Type or Print Legibly
The instructions below are not to be published (Sec. 17924 B&P)
Section 17923 Business and Professions Code
17923 (a) Any person who is a general partner in a partnership that is or has been regularly transacting business under a fictitious business name may, upon withdrawing as a general partner, file a statement of withdrawal from the partnership operating under a fictitious business name. The statement shall be executed by the person filing the statement in the same manner as a fictitious business name statement and shall be filed with the county clerk of the county where the partnership filed its fictitious business name statement.
(b)The statement shall include:
(1)The fictitious business name of the partnership.
(2)The date on which the fictitious business name statement for the partnership was filed, the file number, and the county where filed.
(3)The street address of its principal place of business in this state or, if it has no place of business in this state, the street address of its principal place of business outside this state, if any.
(4)The full names and residence addresses of the person or persons withdrawing as a partner(s).
(c)The statement of withdrawal from the partnership operating under a fictitious business name shall be published in the same manner as the fictitious business name statement and an affidavit showing the publication of the statement shall be filed with the county clerk after the completion of the publication.
(d)The withdrawal of a general partner does not cause a fictitious business name statement to expire if the withdrawing partner files a statement of withdrawal meeting the requirements of this section.
Notice to Person(s) –Section 17924 Business and Professions Code
(1)Your Statement of Withdrawal from the Partnership Operating under a Fictitious Business Name must be published in a newspaper once a week for four successive weeks and an affidavit of publication filed with the county clerk when publication
has been accomplished. The statement should be published in a newspaper of general circulation in the county where the principal place of business is located. The statement should be published in such county in a newspaper that circulates in the area where the business is conducted. (Business and Professions Code Section 17917).
(2)Any person who executes, files or publishes any statement, knowing that such statement is false, in whole or in part, is guilty of a misdemeanor and upon conviction thereof shall be fined not to exceed one thousand dollars ($1000),
(Business and Professions Code Section 17930).
CCR CLK 03 REV. 09/2010
