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If you are doing business under an assumed name, one different from your name, you need to file a "fictitious name statement. Statement Of Intention To Do Business Under Assumed Or Fictitious Name Form.This is a Maine form and can be use in Business Corporation Secretary Of State. Explore our smart chart on DBAs (doing business under an assumed name) including when you would want a DBA, related statutes, filing procedures and more. If you have a change to your business after filing your Assumed Name Certificate Intention, please complete and return the Supplementary Certificate (PDF) form. If handwritten, the form shall be legible and completed in black or blue-black ink in order to permit reproduction. Certificate; misrepresentation. An Assumed Name consists of one or more parties. 1. Assumed name defined. Name and submits herewith the following statement: 1.