Withdrawal Notice Of An Assumed Name

WITHDRAWAL NOTICE OF AN ASSUMED NAME NOTICE: This Certificate of Withdrawal properly executed is to be filed immediately with the Office of the Lieutenant Governor Corporation and Trademarks Section. NAME OF BUSINESS BEING ABANDONED (Print or Type Name of Business) Address:________________________________________________________________ City: ____________________________ State:_________________ Zip Code _______ Give date original Assume Name were filed in this Office _______________________ Each of the undersigned has this day withdrawn from disposed of this interest in the above mentioned business and is no longer connected with the same, and will not be responsible for debts contracted by said business after filing of the withdrawal notice as prescribed by law. NAME ______________________________ SIGNATURE ______________________ ADDRESS ___________________________ ZIP CODE ________________________ NAME ______________________________ SIGNATURE ______________________ ADDRESS ___________________________ ZIP CODE ________________________ NAME ______________________________ SIGNATURE ______________________ ADDRESS ___________________________ ZIP CODE ________________________ ______________, 20______ Before Me, THE UNDERSIGNED AUTHORITY, ON THIS DAY PERSONALLY APPEARED ______________________________________________________________________________________ ______________________________________________________________________________________ Known to me to be the person(s) whose name is subscribed to the foregoing instrument of writing and acknowledged to be the (she) (he) executed the same for the purpose and consideration therein expressed. American LegalNet, Inc. www.FormsWorkflow.com