Macomb County Clerk Attn: Business Registrations North Main Street, Mount Clemens, MI 48043 Original DBA File No. CERTIFICATE OF DISSOLUTION OF CO-PARTNERSHIP OR SOLE PROPRIETORSHIP Filing Fee: $10.00 THE UNDERSIGNED, being one of the members of the Co-Partnership/Sole Proprietorship does hereby certify that the co-partnership/sole proprietorship heretofore conducting business under the below name has been discontinued. Name of Business: Street Address: City: State: Zip: Dated: *MUST BE SIGNED BEFORE A NOTARY PUBLIC* STATE OF MICHIGAN COUNTY OF MACOMB On this day of , 20 , before me personally appeared , who being duly sworn, deposes and says that he/she is a member of the aforesaid Co-Partnership/Sole Proprietorship and is duly authorized to execute this Certificate of Discontinuance. Signature: Print: Notary Public State of Michigan, County of Macomb My Commission expires: 960 Fax-on-Demand Doc #3160 Rev. 12/06 American LegalNet, Inc. www.FormsWorkFlow.com