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The Undersigned Corporation Proposing to Engage in Business in County Form

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The undersigned corporation proposing to engage in business in county form

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CORPORATE CERTIFICATE OF ASSUMED NAME The undersigned corporation, proposing to engage in business in _______________ County, North Carolina, under an assumed name other than its corporate name, hereby certifies that:1. The name under which the business is to be conducted is: __________________________________________________________________________ (Insert assumed name)2.The names and address of the owner(s) of the business is (are): (Corporation name and address): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ In witness whereof, this certificate is signed in the name of the corporation by its __________________________ president and ______________________ secretary, this _____ day of __________________ , 20 ______ .Affix Corporate Seal By: _____________________________PresidentBy: ___________________________SecretaryState of ____________________________County of ___________________________I, ________________________________ , a Notary Public, do hereby certify that __________________________ and _____________________________ personally appeared before me this _________ day of ________________, 20 ____ , and that they signed the foregoing certificate on behalf of the said corporation in the respective capacities indicated.Witness my hand and official seal, this the ________ day of ______________________ , 20_____ . ________________________________ SEAL NOTARY PUBLICMy Commission Expires:_______________________ North Carolina - ____________ CountyThe foregoing certificate__ of _____________________________________________________________________Notary(ies) Public is (are) certified to be correct. The instrument and this certificate are duly registered at the date and time and in the book and page shown on the first page hereof.____________________, Register of DeedsBy____________________________________Assistant/Deputy Register of DeedsAfter recording return to:_________________________ _________________________ _________________________

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