Form Ssa-272 - Amended Certificate Of Assumed Name
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1COMMONWEALTH OF KENTUCKY
TREY GRAYSON
SECRETARY OF STATE
AMENDED CERTIFICATE OF ASSUMED NAME
Pursuant to the provision of KRS Chapter 365, the undersigned hereby amends its certificate of assumed name to
change the identity of the partners on behalf of the general partnership named below and for that purpose submits
the following statements:
1. The assumed name of the general partnership is
_______________________________________________________________________________________.
(Assumed name under which the business is being conducted)
2. The certificate of assumed name was filed with the Secretary of State on _____________________________.
3
The general partnership is organized and existing in the state or country of ___________________________.
4. The current principal office address is
_______________________________________________________________________________________
Street address, if any
City
State
Zip Code
5. The changes in the identity of the partners are as follows:
(Attach a continuation sheet, if necessary)
_______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________.
The amended certificate of assumed name is executed by
___________________________________
_____________________________________ ___________________
Signature
Print or type name and title
Date
___________________________________
_____________________________________ ___________________
Signature
Print or type name and title
Date
___________________________________
_____________________________________ ___________________
Signature
Print or type name and title
Date
___________________________________
_____________________________________ ___________________
Signature
Print or type name and title
Date
___________________________________
_____________________________________ ___________________
Signature
Print or type name and title
Date
SSA-272 (2/98)
(See attached sheet for instructions
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