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   Termination of Business Under a Fictitious or Assumed Name

    

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This document will certify:

{Company name}, which operates at {address}, filed a certificate on {date}, in which it declared its intention to operate under the assumed or fictitious name of {name}.

This certificate is no longer necessary because {corporation is terminated, company will no longer use the assumed or fictitious name} .

The undersigned is a representative of the company, and is authorized to sign on the company's behalf.


Signed this {date} day of {month}, {year}.



_____________________________________                      _____________________________________
Company Rep Printed Name                                                   Company Rep Signature




Notary Seal:

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