form letter for the abandonment of a fictitious business name

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ABANDONMENT OF FICTITIOUS BUSINESS NAME

The following persons [list names, partnership, or corporation] were
conducting business as [set forth fictitious name] at [address 
including street, city, county, and state]. 

The undersigned person hereby certifies that [name of business]has 
ceased to use the fictitious name in transacting business within the 
State of [State]

The complete names and addresses of the individuals or of each general
partner or name of corporation who conducted business under that name
are as follows:

The above fictitious name is hereby abandoned.

Dated:


_________________________________
Signature

Statement filed with the County Clerk of [County],
State of [State] on [day] [month], [year]

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