Office of the Clark County Clerk Lynn Marie Goya Certificate of Business: Fictitious Firm Name Address Change Please Print or Type The expiration date for certificate shall remain five years from the original date of filing. Original Certificate File Number: Fictitious Firm Name: Mailing Address Change From: Mailing Address City, State, Zip To: Mailing Address City, State, Zip Business Address Change From: Street Address of Business City, State, Zip To: Street Address of Business City, State, Zip Signed By: Full Name of Authorized Signer Signature Date By signing above, I declare (or affirm), under penalty of perjury, that all statements made in this document are true, and that I have authority to sign on behalf of and to bind the above named business/legal entity to a contract. STATE OF SS: COUNTY OF This instrument was acknowledged before me on (Date) by (Name of individual whose signature is being notarized) Signature of Notary Public/Deputy Clerk Mail to: Lynn Marie Goya, County Clerk, Attn. FFN, Box 551604, Las Vegas NV 89155-1604 Include: Completed form and self-addressed stamped envelope. There is no fee required. Rev 09/2018 American LegalNet, Inc. www.FormsWorkFlow.com