Fictitious or Assumed Name Certificate by Partners : Please fill out the following form. Please print your completed form if you would to have a copy for your records.
The undersigned hereby certify the following :
1. The undersigned are conducting as (type of partnership) partners a business of (type of business) under the name of (Name of Business) at (Address of Business).
2. The real names and the residences of all the partners in said partnership are :
(Names and Addresses of the partners)
3. No other person is interested as a partner, part owner, or otherwise in the business or conduct of it.
This certificate is executed and filed pursuant to state law relating to the conduct of business under (Fictitious or Assumed) name.
STATE OF :
COUNTY OF :
On _________________________ before me ________________________ personally appeared ___________________________ personally known to me (or proved 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
Fictitious or Assumed Name Certificate by Partners
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