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This is a North Carolina form that can be used for Assumed Name within Secretary Of State.
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CERTIFICATE OF ASSUMED NAME FOR CORPORATION The undersigned corporation, proposing to engage in business in County, North Carolina, under an assumed name other than its corporate name, hereby certifies that: 1. The name under which the business is to be conducted is: (Insert assumed name) 2. The names and address of the owner(s) of the business is (are): (Insert name and address of corporation) In witness whereof, this certificate is signed in the name of the corporation by its president and secretary, this day of , 20 . (Affix Corporate Seal) By: President B y: Secretary State of County of I, , a Notary Public, do hereby certify that and personally appeared before me this day of , 20 , and that they signed the foregoing certificate on behalf of the said corporation in the respective capacities indicated. Witness my hand and official seal, this the day of , 20 . Notary Public My Commission Expires: (Affix Notary Seal) Rev.7/02