NOTICE OF DISSOLUTION OF CO-PARTNERSHIP OR BUSINESS UNDER ASSUMED NAME GENESEE COUNTY CLERK STATE OF MICHIGAN COUNTY OF GENESEE FILING FEE $10.00 Notice is hereby given that the co-partnership or business heretofore conducted under the name and address of: Name of Business: Address of Business: City, State, Zip: has been dissolved and is no longer engaged in business. SIGNATURE OF CO-PARTNERS OR MEMBER OF BUSINESS STATE OF MICHIGAN COUNTY OF GENESEE day of , A.D. 20 , the above signer(s) personally appeared before me and identified On this themselves and acknowledged that they freely and personally signed the above notice. (Notary Public Signature) (Printed Name) Notary Public, County, Michigan. My Commission Expires: (Form below for use of County Clerk) File Date: Mail this notice, notarized with the $10.00 fee to: Genesee County Clerk, Assumed Names, 900 S. Saginaw St, Flint, MI 48502. Payment by mail must be made by money order. American LegalNet, Inc. www.FormsWorkFlow.com
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