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Conduct of business under assumed name

Conduct of business under assumed name.

Conduct of business under assumed name form

CONDUCT OF BUSINESS UNDER FICTITIOUS OR ASSUMED NAMED


Date:


To:


State of:

Pursuant to , relating to the conduct of business under name, the undersigned, hereby present(s) for filing the following application in the office of:

1. The name under which the business is, or will be, carried on is:


2. The real name and address of each person owning or interested in the
business is:


3. The nature of the business is:

4. The business will be conducted at:





STATE OF
COUNTY OF

On before me,                          ,personally appeared , 
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are/subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal.

 


Signature
Affiant Known Unknown
ID Produced
(Seal)


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