APPLICATION TO REGISTER A BUSINESS TO BE CONDUCTED UNDER A TRADE NAME STATE OF GEORGIA COUNTY OF FULTON The undersigned hereby certifies that (they are) (it is) (he is) (she is) conducting a business in the City of ___________________________________________, County of Fulton, State of Georgia, under the name: TRADE NAME and the nature of the business is: and that said business is composed of the following ( ) person ( ) corporation ( ) partnership: Name: _________________________________ _________________________________ _________________________________ Address: ______________________________ ______________________________ ______________________________ This affidavit is made in compliance with GA Code Annotated, Title 10, Chapter 1, Section 490. Sworn and subscribed before me. This____day of ______ in the year_____ _________________________________ Applicant _________________________________ Applicant _________________________________ Notary Public Filing Instructions: Mail the original notarized application to: Cathelene Robinson, Clerk of Superior Court, Attention: Recording Division, 136 Pryor St., SW, Atlanta, GA 30303. The filing fee is $163.50 payable to The Fulton County Clerk of Superior Court. If you have questions about the filing process, please call the Clerk's Office at 404-613-5371. Publication is required by law. If you have questions about publication, contact the Fulton County Daily Report at 404-521-1227. American LegalNet, Inc. www.FormsWorkFlow.com