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Get the free Letter of Disassociation for a Fictitious Name Permit - dbc ca

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This document serves to certify that an individual is no longer associated with a business using a fictitious name in the dental field.
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How to fill out letter of disassociation for

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How to fill out Letter of Disassociation for a Fictitious Name Permit

01
Obtain the Letter of Disassociation form from the appropriate state or county business office.
02
Fill in your name and the name of the fictitious business as it appears on the permit.
03
Provide your business address and any contact information required.
04
Clearly state your intention to disassociate from the fictitious name and include the reason for this action.
05
Sign and date the form to validate your request.
06
Submit the completed form to the relevant authority, either online or in person, as per the guidelines provided.

Who needs Letter of Disassociation for a Fictitious Name Permit?

01
Anyone who has registered a fictitious name for their business and wishes to dissolve that association.
02
Business owners who have changed their business structure or name and no longer require the fictitious name.
03
Individuals or entities that need to ensure that the fictitious name is not associated with them for legal or operational reasons.
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People Also Ask about

If you want to get a business license, open business bank accounts, apply for a business loan, and so on, and you are not doing business using your name or the name of the business owners, then you need an FBN. Without one, you cannot enter into legal agreements with other businesses, such as vendors or suppliers.
When do I need a fictitious name permit? If you are a licensed physician and surgeon, or podiatrist, practicing under a fictitious, false or assumed name in any public communication, advertisement, sign or announcement. Example: "Sunrise Medical Group."
If you're a sole proprietor or general partnership, a fictitious name will give you the ability to market your company under a more creative and compelling name than you would otherwise be legally allowed to use.
Many pseudonym holders use them because they wish to remain anonymous and maintain privacy, though this may be difficult to achieve as a result of legal issues.
The purpose of a Fictitious Name Permit (FNP) is to allow a licensed physician and surgeon or podiatrist to practice under a name other than their own.
A notice of disassociation is a document that severs the financial link between two people. This could happen for a variety of reasons, such as divorce, death, or simply because the two people no longer want to be associated with each other.
The Dental Board of California (Board) issues a Fictitious Name Permit to licensed dentists or Oral Maxillofacial Surgery (OMS) permit holders who engage in practice under any false, assumed or fictitious name if they have ownership in the practice and meet all requirements pursuant to Business and Professions Code (

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A Letter of Disassociation for a Fictitious Name Permit is a formal document filed to notify the appropriate governmental authority that an individual or business is no longer using a specific fictitious name for their operations.
Any individual or business entity that has filed for a fictitious name permit and intends to cease using that name is required to file a Letter of Disassociation.
To fill out a Letter of Disassociation, provide your business name, fictitious name, the reason for disassociation, and any required identifying information such as the business license number or filing number.
The purpose of filing a Letter of Disassociation is to officially inform the relevant authorities that a fictitious name is no longer being used, thereby preventing confusion or legal issues related to business identification.
The information that must be reported includes the name of the individual or business, the fictitious name being disassociated, the reason for disassociation, and any related registration details.
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