Certificate of Sale of Business Under An Assumed Name Certificate : Please fill out the following form. Please print your completed form if you would to have a copy for your records.
The following is hereby certified :
1. The business that has been conducted at (Address of The Business) under the (Enter FICTITIOUS or ASSUMED) name of (Enter The Name of Business) has been sold.
2. The names and residences of each person interested in the business, but now withdrawing from said business are (Enter the additional and names as needed).
3. Following are the names and addresses of the persons who will hereafter conduct the business (Enter the buyer's name and address - Enter the additional buyer's name and address as needed).
4. The date when said person(s) withdrew from the business was(date).
State of :
County of :
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.
Affiant : Known / Unknown
ID Produced :
Affidavits Forms Index
Certificate of Sale of Business Under An Assumed Name Certificate
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