State of New Hampshire Filing fee: $10.00 Use black print or type. Form TN-9 RSA 349:2 CERTIFICATE OF DISCONTINUANCE OF USE OF TRADE NAME Be it known that: (Please type or print clearly; if more space is needed, attach additional sheet[s].) NAME OF OWNER(S) NO. & STREET CITY/TOWN STATE ZIP doing business under the trade name: (Business Name) at (Business Address) (No.) (Street) (City/Town) (State) (Zip) has/have discontinued use of the above trade name effective (month / day / year) . Signed: (must be signed by all owners) Signature Signature Signature Signature Signature Signature Signature Signature Print or type name Print or type name Print or type name Print or type name Print or type name Print or type name Print or type name Print or type name DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee and DATED AND SIGNED ORIGINAL to: Corporation Division, Department of State, 107 North Main Street, rd Concord, NH 03301-4989. Physical location: 25 Capitol Street, 3 Floor, Concord, NH 03301. American LegalNet, Inc. www.FormsWorkFlow.com Form TN-9 (11/2009)