A certificate of abandonment of fictitious business name sample form.
The undersigned______________________[Individual or Partnership or Corporation], certifies the following:
1. The undersigned, _______________, Individual or Partnership or Corporation], ceased to use the fictitious name of ____________ in transacting business in the State of __________________.
2. The full [name or names] and [place or places] of residence of the undersigned______________ [is, are] as follows:_________________________________________________.
Or, if a corporation
2. The principal place of business of said corporation in the State of ________________, is at__________________, in the City of _______________,County of__________________.
3. The above mentioned fictitious name is hereby abandoned.
____________________________ [Signature or Signatures]