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Certificate of Abandonment of Fictitious Business Name

General Form

Certificate

The undersigned______________________[Individual or Partnership or Corporation], certifies the following:

1. The undersigned, _______________, Individual or Partnership or Corporation], ceased to use the fictitious name of ____________ in transacting business in the State of __________________._

2. The full [name or names] and [place or places] of residence of the undersigned______________ [is, are] as follows:_________________________________________________.

Or, if a corporation

2. The principal place of business of said corporation in the State of ________________, is at__________________, in the City of _______________,County of__________________.

3. The above mentioned fictitious name is hereby abandoned.

Dated:_________________ ____________________________
[Signature or Signatures]