|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. 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 a document to the Department of State constitutes a third degree felony
as provided for in s. 817.155, F.S.