Certificate of Abandonment of Fictitious Business Name
General Form

Certificate

The undersigned______________________(Individual or
Partnership or Corporation), certifies the following:

1. The undersigned, _______________, Individual or
Partnership or Corporation), ceased to use the fictitious
name of ____________ in transacting business in the State
of __________________._

2. The full (name or names) and (place or places)
of residence of the undersigned______________ (is, are) as
follows:_________________________________________________.

Or, if a corporation

2. The principal place of business of said corporation
in the State of ________________, is at__________________,
in the City of _______________,County of__________________.

3. The above mentioned fictitious name is hereby
abandoned.

Dated:_________________ ____________________________
(Signature or Signatures)