Form Cwa - Certificate Of Withdrawal Of Assumed Name - 2007
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1
2Kentucky Secretary of State
T
G
REY
RAYSON
________________________________________________________________________________________________________
Division of Corporations
Certificate of Withdrawal
CWA
B
F
USINESS
ILINGS
of Assumed Name
P.O. Box 718
Frankfort, KY 40602
(502) 564-2848
_____________________________________________________________________________
This certifies that the assumed name of
___________________________________________________________________________________
[Assumed name under which the business is being conducted]
has been discontinued by
___________________________________________________________________________________
[Real name - KRS 365.015(1)]
which is the “real name” of
[YOU MUST CHECK ONE]
_____a Domestic General Partnership
______a Foreign General Partnership
_____a Domestic Limited Liability Partnership
______a Foreign Limited Liability Partnership
_____a Domestic Limited Partnership
______a Foreign Limited Partnership
_____a Domestic Business Trust
______a Foreign Business Trust
_____a Domestic Corporation
______a Foreign Corporation
_____a Domestic Limited Liability Company
______a Foreign Limited Liability Company
_____a Joint Venture
organized and existing in the state or country of __________________________, and whose address is
___________________________________________________________________________________.
Street address, if any
City
State
Zip Code
The certificate of assumed name was filed with the Secretary of State on ________________________.
The certificate of withdrawal of assumed name is executed by
____________________________________
_______________________________
Signature
Signature
____________________________________
_______________________________
Print or type name and title
Print or type name and title
____________________________________
_______________________________
Date
Date
CWA (06/07)
(See attached sheet for instructions)
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