Certificate of Abandonment of Fictitious Business Name General Form Certificate 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. Dated:_________________ ____________________________ [Signature or Signatures]