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Fill and Sign the Withdrawal of Assumed Name Certificate Edpnc Form

Fill and Sign the Withdrawal of Assumed Name Certificate Edpnc Form

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CERTIFICATE OF WITHDRAWAL OF ASSUMED NAME FOR SOLE PROPRIETORSHIP, PARTNERSHIP, LIMITED PARTNERSHIP 1.The assumed name being withdrawn is: _______________________________________ 2.This business is a (check one):_____ Sole Proprietorship _____Partnership _____ Limited Partnership 3.The certificate of assumed name was originally filed in __________________ County on the ___________ day of ___________________, 20______ . 4.The effective date of the withdrawal is the _________ day of ___________________ , 20_______ . 5.The following owners have ceased engaging in business under the aforementioned assumed name (give the name and address of each owner):_____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ In witness whereof, this certificate is signed in the name of the Owners on this ___________ day of_______________________ , 20______ .By:________________________SEALOwner/TitleBy:________________________SEALOwner/TitleBy:________________________SEALOwner/TitleState of ________________________County of __________________________I, _________________________________ , a Notary Public, do hereby certify that on this ____ day of ____________, 20_____, personally appeared before me ___________________________________________________ (Owner/Title)___________________________________________________ (Owner/Title)___________________________________________________ (Owner/Title)who are all signers of the foregoing instrument, and each acknowledged the due execution thereof. Witness my hand and official seal, this the ________ day of _________________________ , 20_______ . ____________________________________ Affix Notary 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 Deeds

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