CERTIFICATE OF INDIVIDUAL DOING BUSINESS UNDER ASSUMED NAME New It is hereby certified that: Amended The undersigned is transacting business at City of Zip Code , County of , State of New York under the name of . The full name of the undersigned is: and his/her residence is City of Zip Code , County of , State of New York. I further certify that I am successor and interest to This certificate is executed and filed pursuant to Section 130 of the General Business Law. Dated: (Signature) STATE OF NEW YORK ) COUNTY OF MONROE ) ss. of ) On this day of , in the year two thousand before me, the subscriber, personally appeared to me personally known to be the same person described in and who executed the foregoing instrument, and he/she acknowledged that he/she executed the same.
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