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Filer: Insert the name and mailing address of the individual filing the Certificate of Assumed Name. Please note that if the name entered as the assumed name in item 1.To do business under a DBA, you must complete and file the appropriate DBA forms and pay a filing fee — after which point you receive a DBA certificate. Item 1: Enter the assumed business name(s) you propose to use. Filing Requirements. This form may be used to draft your Certificate of Assumed Name. A document required or permitted to be filed under the act. Instructions for Completing Application for Registration of Fictitious Name. Before filing for an Assumed Name, please review the process below and ensure that your Certificate form is filled out completely and correctly. Walk In: Complete form; all owners must be present with valid government issued ID in order to have the form recorded.