REGISTRATION OF ASSUMED BUSINESS NAME
STATE OF LOUISIANA PARISH OF __________________________________________________________________
BEFORE ME, THE UNDERSIGNED AUTHORITY, PERSONALLY CAME AND APPEARED____________________________________________________ WHO AFTER BEING BY ME FIRST DULY SWORN DID DEPOSE AND SAY:
THAT THEY ARE OPERATING A BUSINESS UNDER THE ASSUMED NAME OF __________________________________________________________AND THAT THE ADDRESS OF AFFIANTS IS ______________________________________________________________________________ ______________________________________________________________________________
______________________________ Signee ______________________________ Signee
SWORN TO AND SUBSCRIBED BEFORE ME THIS ______ day of_____________________________, 20___ ______________________________ NOTARY PUBLIC