Form Cr4E001 PDF Details

In the dynamic business environment of Florida, the Cr4E001 form serves as a critical document for entities seeking to operate under a fictitious name. This form demands meticulous attention to detail across its several sections, catering to diverse needs such as initial registrations, changes in ownership, or cancellations. Section 1 lays the groundwork by asking for the fictitious name and the mailing address for all future correspondence, highlighting the importance of accuracy to ensure vital communications are received. The form clearly stipulates that certain designations like “Corp” or “Inc” are reserved for appropriately registered or authorized entities, underscoring the legal nuances surrounding business operations in the state. In Section 2, the form further delineates between individual and non-individual owners, requiring detailed information that ensures clarity regarding the entity’s ownership structure. This includes, but is not limited to, Federal Employer Identification Numbers and Florida Document Numbers, illustrating a thorough vetting process. The necessity for advertising the fictitious name in a county-based newspaper as stipulated in Section 3 underscores the transparency required in conducting business under a fictitious name. Finally, the procedural aspects for cancellation or alteration of registration detailed in Section 4, along with the acknowledgment of the non-refundable processing fee, reflect the form's comprehensive approach to regulating the use of fictitious names in Florida’s vibrant business landscape.

QuestionAnswer
Form NameForm Cr4E001
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescr4e001 florida form cr4e001

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Section 1

APPLICATION FOR REGISTRATION OF FICTITIOUS NAME

Note: Acknowledgements /certificates will be sent to the address in Section 1 only.

1.________________________________________________________________________________

Fictitious Name to be Registered (see instructions if name includes “Corp” or “Inc”)

____________________________________________________________

____________________________________________________________

Mailing Address of Business

____________________________________________________________

CityStateZip Code

3. Florida County of principal place of business: ______________

____________________________________________________________

(see instructions if more than one county)

FEI Number: ________________________________

This space for office use only

Section 2

A. Owner(s) of Fictitious Name If Individual(s): (Use an attachment if necessary):

1. ______________________________________

2. ______________________________________

Last

First

M.I.

Last

First

M.I.

______________________________________

______________________________________

Address

 

 

Address

 

 

______________________________________

______________________________________

City

State

Zip Code

City

State

Zip Code

B. Owner(s) of Fictitious Name If other than an individual: (Use attachment if necessary):

1. ______________________________________

2. ______________________________________

Entity Name

 

 

 

Entity Name

 

 

 

______________________________________

______________________________________

Address

 

 

 

Address

 

 

 

______________________________________

______________________________________

City

State

Zip Code

City

State

Zip Code

Florida Document Number

______________

Florida Document Number

_______________

FEI Number:

__________________________

FEI Number:

__________________________

 

 

 

 

 

 

 

Applied for

 

Not Applicable

 

 

Applied for

 

Not Applicable

Section 3

Section 4

I the undersigned, being an owner in the above fictitious name, certify that the information indicated on this form is true and accurate. In accordance with Section 865.09, F.S., I further certify that the fictitious name to be registered has been advertised at least once in a newspaper as defined in chapter 50, Florida Statutes, in the county where the principal place of business is located. I understand that the signature below shall have the same legal effect as if made under oath.

__________________________________________

__________________________________________

Signature of Owner

Date

E-mail address: (to be used for future renewal notification)

Phone Number:

____________________________

 

FOR CANCELLATION COMPLETE SECTION 4 ONLY:

FOR FICTITIOUS NAME OR OWNERSHIP CHANGE COMPLETE SECTIONS 1 THROUGH 4:

I (we) the undersigned, hereby cancel the fictitious name ______________________________

______________________, which was registered on ________________ and was assigned

registration number ______________________

__________________________________________

__________________________________________

Signature of Owner

Date

 

 

Signature of Owner

 

Date

 

 

 

 

 

Mark the applicable boxes

 

Certificate of Status — $10

 

Certified Copy — $30

 

 

 

NON-REFUNDABLE PROCESSING FEE: $50

Single CR4E001 (11/09)

Instructions for Completing Application for Registration of Fictitious Name

Section 1: Line 1: Enter the name as you wish it to be registered. A fictitious name may not contain the words “Corporation” or “Incorporated,” or the abbreviations “Corp.” or “Inc.,” unless the person or business for which the name is registered is incorporated or has obtained a certificate of authority to transact business in this state pursuant to chapter 607 or chapter 617 Florida Statutes. Corporations are not required to file under their exact corporate name.

Line 2: Enter the mailing address of the business. This address does not have to be the principal place of business and can be directed to anyone’s attention. DO NOT USE AN ADDRESS THAT IS NOT YET OCCUPIED. ALL FUTURE MAILINGS AND ANY CERTIFICATION REQUESTED ON THIS REGISTRATION FORM WILL BE SENT TO THE ADDRESS IN SECTION 1. An address may be changed at any future date with no charge by simply writing the Division.

Line 3: Enter the name of the county in Florida where the principal place of business of the fictitious name is located. If there is more than one county, list all applicable counties or state “multiple”.

Line 4: Enter the Federal Employer Identification (FEI) number if known or if applicable. Please do not enter your social security number.

Section 2: Part A: Complete if the owner(s) of the fictitious name are individuals. The individual’s name and address must be provided.

Part B: Complete if the owner(s) are not individuals. Examples are a corporation, limited partnership, joint venture, general partnership, trusts, fictitious name, etc. Provide the name of the owner, their address, their document number as registered with the Division of Corporations, and the Federal Em- ployer Identification (FEI) number. An FEI number must be provided or the appropriate box must be checked.

Owners listed in Part B must be registered with the Division of Corporations or provide documenta- tion as to why they are not required to register. Examples would be Federally Chartered Corporations, or Legislatively created entities.

Additional owners may be listed on an attached page as long as all of the information requested in Part A or Part B is provided.

Section 3: Only one signature is required. It is preferred that a daytime phone number be provided in order to contact the applicant if there are any questions about the application.

Section 4: TO CANCEL A REGISTRATION ON FILE: Provide fictitious name, date filed, and registration number of the fictitious name to be cancelled.

TO CHANGE OWNERSHIP OF A REGISTRATION: Complete section 4 to cancel the original registration. Complete sections 1 through 3 to re-register the fictitious name listing the new owner(s). An owner’s signature is required in both sections 3 and 4.

TO CHANGE THE NAME OF A REGISTRATION: Complete section 4 to cancel the original registration. Complete sections 1 through 3 to re-register the new fictitious name. An owner’s signature is required in both sections 3 and 4.

An acknowledgement letter will be mailed when the fictitious name registration has been filed. The acknowledgement letter and any certification requested will be mailed to the address provided in Section 1. For Cancellations Only: please provide a mailing address on an attachment, if the address on our records is no longer valid. To request a certificate of status and/or certified copy, please check the appropriate box(es) and include the additional fee(s) ($10 for a certificate of status, $30 for a certified copy).

The registration and reregistration will be in effect until December 31 of the fifth year.

Courier Address

Send completed application with appropriate fees to:

Division of Corporations

Clifton Building

Fictitious Name Registration

 

Internet Address:

2661 Executive Center Circle

PO Box 1300

http://www.sunbiz.org

Tallahassee, FL 32301

Tallahassee, FL 32302-1300

 

 

The fee for registering a fictitious name is $50. Please make a separate check for each filing payable to the Department of State. Application must be typed or printed in ink and legible.

Single CR4E001 (11/09)

How to Edit Form Cr4E001 Online for Free

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Step 1: Press the "Get Form" button above. It'll open up our tool so you can start completing your form.

Step 2: When you open the PDF editor, you will see the document made ready to be filled out. Other than filling in various blank fields, it's also possible to perform several other actions with the PDF, particularly writing any words, modifying the original text, inserting graphics, affixing your signature to the PDF, and more.

As for the blanks of this specific form, here is what you need to do:

1. The Form Cr4E001 needs particular information to be entered. Make certain the following blank fields are finalized:

Form Cr4E001 completion process shown (portion 1)

2. Once your current task is complete, take the next step – fill out all of these fields - n o i t c e S, n o i t c e S, City, Zip Code, State, City, Zip Code, State, Florida Document Number, Florida Document Number, FEI Number, FEI Number, Applied for, Not Applicable, and Applied for with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

City, Zip Code, and FEI Number of Form Cr4E001

Always be extremely careful when filling out City and Zip Code, since this is where most people make mistakes.

3. The third step is usually straightforward - fill in every one of the fields in Signature of Owner, Date, Signature of Owner, Date, Mark the applicable boxes, NONREFUNDABLE PROCESSING FEE, Single, and CRE to complete this process.

Filling out segment 3 of Form Cr4E001

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