Certificate of Transaction of Business
Under Fictitious Name - by Individual
Certificate
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned does hereby certify the following:
1. The undersigned is transacting or proposes to transact
business in the State of _____________ under the
fictitious name of ______________________________________.
2. The principal place of said business is located at
______________________________________.
3. The full name of the undersigned is _________________.
4. The place of residence of the undersigned is _________
_______________________________________.
Dated _______________ ________________________
[Signature]