Withdrawal of Partner from Business Under a Fictitious or Assumed Name

Withdrawal of Partner from Business Under a Fictitious or Assumed Name

This is to certify that, {name}, a partner in the company doing business under the assumed name {name}, has withdrawn from the company.

The business operates at {address}, and filed the certificate of the fictitious or assumed name on {date}.

Signed this {date} day of {month}, {year}.

Partner Printed Name		Partner Signature

Company Rep Printed Name		Company Rep Signature

Notary Seal: