| FILING FEE $10.00 |
FILE NO._________________________________________ |
STATE OF MICHIGAN, COUNTY OF INGHAM ) ss.
NOTICE IS HEREBY GIVEN THAT THE CO-PARTNERSHIP OR BUSINESS HERETOFORE CONDUCTED UNDER THE ASSUMED NAME OF
__________________________________________________________________________________________________________________
LOCATED
AT
:_____________________________________________________________________________________________________
HAS
BEEN DISSOLVED AND IS NO LONGER ENGAGED IN BUSINESS. DATED
___________________
SIGNATURES OF FULL NAMES OF CO-PARTNERS OR
MEMBERS OF
BUSINESS
______________________________________________________
______________________________________________________
______________________________________________________
STATE OF MICHIGAN, COUNTY OF INGHAM )ss.
ON THIS
____________________________DAY OF _____________________A.D._______, BEFORE ME,
THE SUBCRIBER_____, PERSONALLY APPEARED
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
PERSONALLY
KNOWN TO BE THE SAME PERSON______ DESCRIBED IN AND WHO EXECUTED THE FOREGOING
INSTRUMENT,
AND _____HE _ACKNOWLEDGED TO ME THAT___HE_ EXECUTED THE
SAME.
| _________________________________________________________________ NOTARY PUBLIC, INGHAM COUNTY, MICHIGAN |
|
MY COMMISSION
EXPIRES_______________________ |