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FICTITIOUS NAME CERTIFICATE


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FICTITIOUS NAME CERTIFICATE

When recorded mail to:


________________________|
 Space above for Recorder's use only

FICTITIOUS NAME CERTIFICATE (A.R.S. §44-1236)

PLEASE TAKE NOTICE that, pursuant to Arizona Revised Statutes, § 44-1236, the undersigned hereby certify(ies) that a business is transacted in Arizona under a fictitious name or names, as follows:

1. The name of the owner of the business is:
2. The place of residence of the owner is:
3. The name of the corporation is:
4. The address (principal place of business) of the corporation is:
5. The names used by the corporation are as follows:

The undersigned hereby certify(ies) that the foregoing information is true and correct.

Dated this ____ day of ____________________, 200___.

By:__________________________________________
(Signature)

Statutory Agent Signature: __________________________________________

STATE OF ARIZONA )

) ss.

County of ______ )

Subscribed, sworn to and acknowledged before me this _____ day

of _______________, 200___

by ____________________ and ____________________.

___________________________

Notary Public

My Commission Expires: ______________________

 

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