FICTITIOUS OR ASSUMED NAME CERTIFICATE

BY PARTNERS
CERTIFICATE
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
at:
2. The real names and the residences of all the partners in said partnership are:
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 name.
Dated: ___________________________________
Partner
__________________________________
Partner
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.
Signature___________________________
Affiant _____Known _____Unknown
ID Produced________________________
(Seal)
ZZAAABAZ