Statement Form Of Withdrawal From Partnership Operating Under Fictitious Business Name Page 2

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THE INSTRUCTIONS BELOW ARE NOT TO BE PUBLISHED
(Sec. 17923 and 17924, Business & Professions Code)
INSTRUCTIONS FOR COMPLETION OF STATEMENT
Section 17923 Business & Professions Code
(*)
The fictitious business name of the partnership.
(**)
The full name and residence of the person withdrawing as a partner.
(***)
Mark the box that best describes the nature of the fictitious business name.
(****)
Insert the date the fictitious business name statement was filed in Riverside County.
(*****) Statement must be signed by the partner who is withdrawing from the partnership.
..................................................................................................................................................................
NOTICE
Section 17923 Business & Professions Code
(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 files its fictitious business name statement.
(c) The Statement of Withdrawal from 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 name statement to expire if the withdrawing
partner files a statement of withdrawal in accordance with subdivision (a) and (b) and the requirement of
subdivision (c) is satisfied.
ACR 503 (Rev. 11/2014)

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