FICTITIOUS
NAME CERTIFICATE
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WARNING! first.

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:
______________________ |