CERTIFICATE OF INDIVIDUAL
DOING BUSINESS UNDER ASSUMED NAME
New
It is hereby certified that: Amended
The undersigned is transacting business at
City of Zip Code , County of , State of New York
under the name of .
The full name of the undersigned is:
and his/her residence is
City of Zip Code , County of , State of New York.
I further certify that I am successor and interest to
This certificate is executed and filed pursuant to Section 130 of the General Business Law.
Dated:
(Signature)
STATE OF NEW YORK )
COUNTY OF MONROE ) ss.
of )
On this day of , in the year two thousand before me, the subscriber,
personally appeared to me personally known to be
the same person described in and who executed the foregoing instrument, and he/she acknowledged that he/she
executed the same.
