CERTIFICATE OF WITHDRAWAL OF PARTNER FROM BUSINESS

UNDER A FICTITIOUS OR ASSUMED NAME

CERTIFICATE
The following is hereby certified:
1. The undersigned, , and whose address is
, have withdrawn as p a r t n e r ( s )
from the partnership doing business under the name of
.
2. The partnership has its principal place of business located at:
3. The name certificate with respect to said business name was filed on
, (year), in the office of ,
State of .
Dated:______________________ __________________________________
______________________ __________________________________
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