CERTIFICATE
OF TRANSACTION OF BUSINESS UNDER FICTITIOUS NAME
[By
Individual]
IT IS HEREBY
CERTIFIED AS FOLLOWS:
1. The undersigned
is transacting or proposes to transact business in the State of
____________, under the fictitious name of
_____________________________.
2. The principal
place of said business is located at [s-Address].
3. The full name of
the undersigned is: [r-Name].
4. The place of
residence of the undersigned is: [r-Address].
________________________________ ____________________
Signature Date
