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Amended Business Certificate The undersigned hereby certify that a certificate of doing business under the assumed name: and was located at in the street city state zip code ð City ð Town ð Village of was filed in the office of the Cayuga County Clerk, State of New York on the day of under document number________; the last amended certificate was filed on the day of under document number This amended certificate is for the purpose of setting forth the following changes: ð Change business name ð Business address (address) (city) (state) (zip code) (Town) ð Change individual filer name ð Change/add residence address of filer (address) (city) (state) (zip code) (Town) ð DBA to Partnership ð Add (name) (address) (city) (state) (zip code) (Town) ð Partnership to DBA * person(s) being removed ð Remove Names & address of party(s) that will be conducting business: (use additional pages if necessary) Age required if under 18 Name Address: include city state and zip code Signature this day of 20___ Signature this day of 20___ * Signature Required from any party being removed & and at least one remaining party State of New York, County On before me, the undersigned, personally Personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose names are subscribed to the within instrument & acknowledged to me that he/she/they executed the same in his/her/their capacity that by his/her/their signature(s) on the instrument, the individual(s) or the person on behalf of the individual(s) acted, executed the instrument Notary Public 8/1/2019 ---PAGE BREAK--- Phone Number Name Name Name Name E-mail Address