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    I Affirm, Under Penalties For Perjury, That I Have Taken Reasonable Care To Redact Each Social Security Number in This Document Unless Required by Law

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    Laura Parka
    This document is a Certificate of Assumed Business Name that provides information about a sole proprietorship, association, or general partnership operating under a name other than the owners' own names. It lists the name and nature of the business, its address, and the printed names and residences of its members. The document must be signed by a member and notarized to certify that the facts stated are true.

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    © All Rights Reserved
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    I Affirm, Under Penalties For Perjury, That I Have Taken Reasonable Care To Redact Each Social Security Number in This Document Unless Required by Law

    Uploaded by

    Laura Parka
    52 views2 pages
    This document is a Certificate of Assumed Business Name that provides information about a sole proprietorship, association, or general partnership operating under a name other than the owners' own names. It lists the name and nature of the business, its address, and the printed names and residences of its members. The document must be signed by a member and notarized to certify that the facts stated are true.

    Original Title

    1597778156_0643

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    © © All Rights Reserved

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    This document is a Certificate of Assumed Business Name that provides information about a sole proprietorship, association, or general partnership operating under a name other than the owners' own names. It lists the name and nature of the business, its address, and the printed names and residences of its members. The document must be signed by a member and notarized to certify that the facts stated are true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    52 views2 pages

    I Affirm, Under Penalties For Perjury, That I Have Taken Reasonable Care To Redact Each Social Security Number in This Document Unless Required by Law

    Uploaded by

    Laura Parka
    This document is a Certificate of Assumed Business Name that provides information about a sole proprietorship, association, or general partnership operating under a name other than the owners' own names. It lists the name and nature of the business, its address, and the printed names and residences of its members. The document must be signed by a member and notarized to certify that the facts stated are true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    CERTIFICATE OF ASSUMED BUSINESS NAME

    For persons (sole proprietorships, associations, or general partnerships) engaged in business


    under a name other than their own (DBA)

    STATE OF __________________, COUNTY OF________________________

    NAME OF BUSINESS:_____________________________________________

    NATURE OF BUSINESS:___________________________________________

    ADDRESS OF BUSINESS:__________________________________________

    PRINT NAMES AND RESIDENCES OF MEMBERS OF BUSINESS:

    ________________________AT______________________________________

    ________________________AT______________________________________

    ________________________AT______________________________________

    -----------------------------------------------------------------------------------------------------------

    SECTION TO BE COMPLETED BY/IN PRESENCE OF A NOTARY

    I hereby certify that I have personal knowledge of the facts stated above and that each of them is
    to be true.

    _______________________ ________________________ _____________________


    Member’s Signature Printed Name Capacity of Signer

    Subscribed and sworn to before me, this _____ day of ___________, 20___.

    _______________________ ________________________ _____________________


    Signature of Notary Printed Name County of Residence

    Expiration date: ____________________

    ------------------------------------------------------------------------------------------------------------
    I affirm, under penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document
    unless required by law.

    _____________________________________

    Prepared By: ____________________________________


    PROOF

    Executed and Delivered in my presence:

    ___________________________________ (witness signature)

    ____________________________________(witness print)

    State of ___________________)
    ) ss:
    County of _________________)

    Before me a Notary Public in and for said County and State, personally appeared

    ______________________________(witness print name), being known to me to be the person


    whose name is subscribed as a witness to the foregoing instrument, who, being duly sworn by
    me, deposes and says that the foregoing instrument was executed and delivered by

    __________________________(grantor/signer name) in the above-named subscribing witness’s


    presence , and that the above-named subscribing witness is not a party to the transaction
    described in the foregoing instrument at will not receive any interest in or proceeds from the
    property that is the subject of the transaction.

    Witness my hand and Notarial Seal this ____________ day of ____________________, 2020.

    _____________________________ (notary signature)

    ______________________________(notary printed name)

    Commission Number: ________________

    County of Residence: ________________


    SEAL
    Commission Expire: _________________

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