FICTITIOUS OR ASSUMED NAME CERTIFICATE BY A CORPORATION
The following is hereby certified: __________________________________________
1. Business is, or will be, transacted at: _____________________________________, under the ___________________ name of _______________________________, a corporation incorporated under the laws of _________________________ (state), and __________________________________ authorized to transact business in the State of ____________________, with its main office located at _______________.
2. The nature of the business is: ____________________________________________
3. The corporation is the sole owner of the business and no other corporation or entity is interested in the conduct of said business. This certificate is executed and filed pursuant to: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
Date: _______________________________
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)