Application To Register A Business Operation Under An Assumed Name Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application To Register A Business Operation Under An Assumed Name Form. This is a North Carolina form and can be use in Assumed Name Secretary Of State.
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APPLICATION TO REGISTER A BUSINESS OPERATING UNDER AN ASSUMED NAME
STATE OF NORTH CAROLINA
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County of _____________________________
_____________ do hereby certify that the business of __________________________________________
conducted at _____________________________________ in the county of ________________________
State of North Carolina, under the name and style of ___________________________________________
is owned by _______; and that _____________________________ full name ______ and post office
address _______________ as follows:
Name
POST OFFICE ADDRESS
Witness _______ hand ___ and seal ___, this ________ day of ______________ A.D. 20 ____
___________________________________ (SEAL)
___________________________________ (SEAL)
___________________________________ (SEAL)
___________________________________ (SEAL)
___________________________________ (SEAL)
___________________________________ (SEAL)
STATE OF NORTH CAROLINA – County of ________________________________________________
I, _____________________________________________________________________________
in and for the above named State and County, do hereby certify that this day personally appeared before me
______________________________________________________________________________________
______________________________________________________________________________________
and acknowledged _______ due execution of the foregoing certificate.
Witness my and and _______________________ seal this ______________ day of A.D. 20____.
___________________________________________
Notary Public
My commission expires: ____________________
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