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Florida Fictitious Name Registration
In order to register a fictitious name (DBA) in the State of Florida, simply fill out the form below, and Florida Incorporator will prepare and file your business' documents with the Florida Department of State.
This service is for a Fictitious Name (DBA) Registration and cannot be used to renew your Fictitious Name or to form a Corporation or Limited Liability Company (LLC).
Fictitious Name Registration Service
 Fictitious Name Registration $150.00 USD
Service includes
Department of State Fees
Preparing of Documents
Filing with the State
Additional Services
Expedited Service + $ 50.00 USD
Federal Tax ID + $ 50.00 USD
Certified Copy + $ 75.00 USD
Certificate of Status + $ 65.00 USD
Total Cost: $ USD     
After completing, reviewing and submitting the form below, you will be redirected to our secure payment page containing your invoice number. Please print that page for your records.
In case you choose any additional service(s) or option(s), you may be redirected to another form, and then to our secure payment page and invoice number.
Please keep in mind that payment information must be provided and payment approved before your order is processed.
Payment can be made by check, money order, Visa, MasterCard, Discover/Novus, Diners Club and JCB and derivatives of those brands.
Business Name Fields in red must be entered.
Fictitious Name (DBA) to be Registered:
Name reservations are no longer available from the state of Florida. You are responsible for any name infringement that may result from your name selection.
Contact Information Fields in red must be entered.
Contact Name
Contact Email
Your confirmation email, any certification requests, and all future notices will be sent to the email address above.
Contact Phone
Contact Fax
Preferred Method of Contact
Email Phone Fax
Payment Method
Credit Card Debit Card
  Check
Business Address Fields in red must be entered.
The principal place of business.  Cannot be a P.O. box.
Address
Suite, Apt., etc.
City
State
Zip
Country
Mailing Address Fields in red must be entered.
Check here  if same as Business Address above.
Address
Suite, Apt., etc.
City
State
Zip
Country
Business Federal Tax ID This field is optional.
A Federal Tax ID can be entered, otherwise leave this field empty.
Federal Tax ID
County of Business Fields in red must be entered.
Florida County of Principal Place of Business
Owner Information Fields in red must be entered.
Owner of Fictitious Name If An Individual
First Name Middle Last Name Sr,Jr,etc
or Owner of Fictitious Name If Other Than An Individual
Business Name
FL Document Number
Business Federal Tax ID
Federal Tax ID Status
Applied For Not Applicable Current
Address
Suite, Apt., etc.
City
State
Zip
Country
Check here  if you would like to add more owners.
Owner Information Fields in red must be entered.
Owner of Fictitious Name If An Individual
First Name Middle Last Name Sr,Jr,etc
or Owner of Fictitious Name If Other Than An Individual
Business Name
FL Document Number
Business Federal Tax ID
Federal Tax ID Status
Applied For Not Applicable Current
Address
Suite, Apt., etc.
City
State
Zip
Country
Check here  if you would like to add more owners.
Owner Information Fields in red must be entered.
Owner of Fictitious Name If An Individual
First Name Middle Last Name Sr,Jr,etc
or Owner of Fictitious Name If Other Than An Individual
Business Name
FL Document Number
Business Federal Tax ID
Federal Tax ID Status
Applied For Not Applicable Current
Address
Suite, Apt., etc.
City
State
Zip
Country
Check here  if you would like to add more owners.
Owner Information Fields in red must be entered.
Owner of Fictitious Name If An Individual
First Name Middle Last Name Sr,Jr,etc
or Owner of Fictitious Name If Other Than An Individual
Business Name
FL Document Number
Business Federal Tax ID
Federal Tax ID Status
Applied For Not Applicable Current
Address
Suite, Apt., etc.
City
State
Zip
Country
Check here  if you would like to add more owners.
Owner Information Fields in red must be entered.
Owner of Fictitious Name If An Individual
First Name Middle Last Name Sr,Jr,etc
or Owner of Fictitious Name If Other Than An Individual
Business Name
FL Document Number
Business Federal Tax ID
Federal Tax ID Status
Applied For Not Applicable Current
Address
Suite, Apt., etc.
City
State
Zip
Country
Additional Services These fields are optional.
Expedited Service + $ 50.00 USD
Check this option if you need your document to be filed in a rush. Expedited Service orders are usually completed in 1 to 5 business days, while regular services are usually completed in 5 to 10 business days, once all your materials are submitted to us and payment confirmation has been received.
Federal Tax ID (Also known as FEI, EIN, or TIN.) + $ 50.00 USD
The Federal Tax ID (FEI/EIN/TIN) may be required when applying for a license, opening a bank account, etc.
Expedited Federal Tax ID
Usually acquired on same day.		 + $ 50.00 USD
Certified Copy + $ 75.00 USD
This is a certified copy of the document filed.
Certificate of Status + $ 65.00 USD
This is a certification of the status of the business.
Owner Signature Fields in red must be entered.
Signature of fictitious name owner.
I the undersigned, being an owner in the above fictitious name, certify that the information indicated on this form is true and accurate. I further certify that the fictitious name to be registered has been advertised at least once in a newspaper as defined in chapter 50, F.S., in the county where the principal place of business is located. ( No proof of advertisement will be required ). I understand that the electronic signature below shall have the same legal effect as if made under oath and I am aware that false information submitted in this application constitutes a third degree felony as provided for in s. 817.155, F.S.
Signature
This signature must be that of the individual "signing" this document electronically or be made with the full knowledge and permission of the individual, otherwise it constitutes forgery under s.831.06, Florida Statutes. The individual "signing" this document affirms that the facts stated herein are true.
Disclaimer and Terms of Service
 By checking this box, I verify that I have read and accept the terms of this Disclaimer and Terms of Service.
Note: This is a form meeting requirements for filings pursuant to the Florida Statutes. If your business requires additional information, please contact us and we'll be pleased to fulfill your needs.
Please verify your information for accuracy before submitting this form. Once process begins, it cannot be changed, removed, cancelled, or fully refunded, and any amendment will require extra charge(s).
By clicking the "Submit Order and Make Payment" button, you affirm and certify that neither Florida Incorporator nor any of its employees or agents have provided you with any legal or tax advice, that the information listed in this form is what you desire to be reflected for the filing, and that you have read and agreed to our Disclaimer and Terms.
 
Florida Incorporator is a filing agency and as such does not render any legal, accounting, or tax advice.
Florida Incorporator is not affiliated with the united states government or any state or local governmental agency.
Florida Incorporator and the Florida Incorporator logos are trademarks used under license by Corporate Filings Co.
Florida Incorporator text and artwork copyright © 2013 all rights reserved.