Certificate Of Assumed Name For Corporation Form

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CERTIFICATE OF ASSUMED NAME FOR CORPORATION
The undersigned corporation, proposing to engage in business in
County,
North Carolina, under an assumed name other than its corporate name, hereby certifies that:
1.
The name under which the business is to be conducted is:
(Insert assumed name)
2.
The names and address of the owner(s) of the business is (are):
(Insert name and address of corporation)
In witness whereof, this certificate is signed in the name of the corporation by its
president and
secretary, this
day of
, 20
.
(Affix Corporate Seal)
By:
President
By:
Secretary
State of
County of
I,
, a Notary Public, do hereby certify that
and
personally appeared before me this
day of
, 20
,
and that they signed the foregoing certificate on behalf of the said corporation in the respective
capacities indicated.
Witness my hand and official seal, this the
day of
, 20
.
Notary Public
My Commission Expires:
(Affix Notary Seal)
Rev.7/02

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