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   Withdrawal of Partner from Business Under a Fictitious or Assumed Name

    


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This is to certify that, {name}, a partner in the company doing business under the assumed name {name}, has withdrawn from the company.

The business operates at {address}, and filed the certificate of the fictitious or assumed name on {date}.




Signed this {date} day of {month}, {year}.




______________________________________                   ______________________________________
Partner Printed Name                                                             Partner Signature


______________________________________                   ______________________________________
Company Rep Printed Name                                                 Company Rep Signature

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