Affidavit of Publication of Certificate

Fictitious or Assumed Name

Affidavit of Publication of Certificate : Please fill out the following form. Please print your completed form if you would to have a copy for your records.



(Name of the person giving statement), affiant, of (ADDRESS), City of (CITY), County of (COUNTY), State of (STATE), being duly sworn on oath, deposes and says:

1. Affiant is or was the (Person's title) of (News Paper) a daily newspaper of general circulation, printed, published, and circulated in the City of (CITY), County of (COUNTY), State of (STATE).

2. The original or renewal (Fictitious or Assumed Name) name certificate, a true copy of which is attached hereto and marked as Exhibit A, was published in said newspaper once a (Day, week or month) for 20 successive (Days, weeks or months), on the following dates:

Dates of publications

and the publication was made in the newspaper proper and not in a supplement.

Dated :

On _______________ before me _________________ personally appeared ______________________ personally known to me (orproved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.

Signature :

Affiant : Known / Unknown

ID Produced :

Seal :

Basic Agreement Forms Index

Affidavit of Publication of Certificate

Letter Asking A Donation
Letter Asking A Favor
Letter Asking for More Details
Letter Asking for Donations
Letter Denying of Dealership
Letter for Change of Address
Letter for Distributorship
Letter for Employment
Letter for Hotel Reservation
Letter for Letter of Credit
Letter for Line of Credit
Letter for Product Launch
Letter for Promotion
Letter for Retirement Congrats
Letter for Scholarship
Letter for Settlement of Bill
Letter for Tender
Letter for Testimonial
Letter of Agreement
Letter of Assurance
Letter of Credit
Letter of Enquiry
Letter of Order
Letter of Persuasion
Letter of Sympathy
Letter Offering Discount
Letter Related to Advertisement
Letter Related to Despatch
Letter Related to Training
Letter to A Foreign Buyer
Letter to Pen-Friend
Letter to Police
Letter with Order
Letter with Quotation
Letter Writing
Letters about Company Shares
Letters by Clubs and Societies
Letters by Landlords & Tenants
Letters for Appointment of Dealers
Letters for Business Relations
Letters for Buying and Selling
Letters for Credit & Collection
Letters for Foreign Travel
Letters for Lease & Tenancy
Letters for Loan & Borrowing
Letters for Transfer & Assignment
Letters for Insurance
Letters Noting Discrepancy
Letters of Condolence & Sorrow
Letters of Regret
Letters Regarding Maintenance
Letters Regarding Payment
Letters Related to Employees
Letters to Local Corporation
Letters to Postal Authorities
Letters to The Editor
Letters Used in Real Estate
Letters With Postal Department
Letters With Railways Authorities

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