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Fill and Sign the Certificate of Withdrawal of Assumed Name Kentucky Form

Fill and Sign the Certificate of Withdrawal of Assumed Name Kentucky Form

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WITHDRAWAL OF ASSUMED NAME FOR AN LLC 1. The assumed name being withdrawn is: 2. The certificate of assumed name was originally filed in County on the day of , 20 . 3. The effective date of the withdrawal is the day of , 20 . 4. The following LLC has ceased engaging in business under the aforementioned assumed name (give the name and address of the LLC): In witness whereof, this certificate is signed by a member/manager of said LLC, this day of , 20 . B y: By: (Member/Manager) (Member/Manager) State of County of I, , a Notary Public, do hereby certify that on this day of , 20 , and personally appe ared before me and signed the foregoing instrument on behalf of the said corporat ion in the respective capacities indicated. Witness my hand and official seal, th is the day of , 20 . Notary Public My Commission Expires: (Affix Notary Seal) Rev.7/02

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