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Fill and Sign the Withdrawal of Assumed Name for Corporation North Carolina Form

Fill and Sign the Withdrawal of Assumed Name for Corporation North Carolina Form

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CERTIFICATE OF WITHDRAWAL OF ASSUMED NAME FOR A CORPORATION 1. The assumed name being withdrawn is: ___________________________________________ 2. The certificate of assumed name was originally filed in __________________________ County, North Carolina on the _______ day of ____________________ , 20________ . 3. The effective date of the withdrawal is the _________ day of _________________ , 20_____ . 4. The following Corporation has ceased engaging in business under the aforementioned assumed name (give the name and address of the Corporation): ___________________________________________________ ___________________________________________________ ___________________________________________________ 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: _____________________________ President By: ___________________________ Secretary State 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 PUBLIC My Commission Expires: _______________________ North Carolina - ____________ County The 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 Deeds By ____________________________________ Assistant/Deputy Register of Deeds After recording return to: _________________________ _________________________ _________________________

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