Certificate of Transaction of Business Under Fictitious Name - by Individual Certificate KNOW ALL MEN BY THESE PRESENTS: That the undersigned does hereby certify the following: 1. The undersigned is transacting or proposes to transact business in the State of _____________ under the fictitious name of ______________________________________. 2. The principal place of said business is located at ______________________________________. 3. The full name of the undersigned is _________________. 4. The place of residence of the undersigned is _________ _______________________________________. Dated _______________ ________________________ (Signature)
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