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This is a Virginia form that can be used for Circuit Court within Local County, Chesapeake.
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CERTIFICATE AS REQUIRED BY SECTION 59.1-69 OF THE CODE OF VIRGINIA AS AMENDED DOING BUSINESS UNDER AN ASSUMED OR FICTITIOUS NAME This is to certify that the following named Corporation with its respective post office address, embraces the name of each Corporation owning or composing the Corporation, names or styled as ________________________________ located at _______________________ and if a Foreign Corporation it was authorized to do business in the State of Virginia on the _____ day of _______________, _______. NAME OF CORPORATION (Street) ADDRESS (City/State) _____________________________________ ________________________________________ By __________________________________ ________________________________________ Name Title Attest _______________________________ Secretary STATE OF __________________ CITY OR COUNTY OF ________________, to-wit: I, _____________________________________, a Notary Public in and for the _________ aforesaid, whose commission expires on the ____ day of ______________, ______, do hereby certify that ______________________________________________ whose name as _____________/Secretary, respectively, of the _________________________________ are signed to the writing above have acknowledged the same before me in my presence aforesaid. Given under my hand this _____ day of _________________, _________. ________________________________________ Notary Public VIRGINIA: In the Clerk's Office of the Circuit Court in the City of Chesapeake, on the ____ day of ____________, ______. This certificate was this day received and upon certificate of acknowledgment thereto annexed, admitted to record. Teste: FAYE W. MITCHELL, CLERK By ________________________ D.C. Where business is conducted in this State, under an assumed or fictitious name by a corporation, such corporation shall file in the office of the Clerk of the State Corporation Commission a copy of such certificate, duly attested by the Clerk in which the original is filed. American LegalNet, Inc. www.USCourtForms.com