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Cortland County Clerk’s Office Brooke Kemak, County Clerk 46 Greenbush Street #B5 Cortland, New York 13045 Ph: [PHONE REDACTED] CERTIFICATE OF DISCONTINUANCE OF BUSINESS I HEREBY CERTIFY that I have conducted or transacted business under the name of: Business Name: Address: The original certificate of conducting business under an assumed name was filed in the Cortland County Clerk’s office: Date of Filing: Instrument Number: Last Amended Date: Instrument Number: I hereby further certify that the filing of a certificate in Cortland County is no longer required for the reason that the said business was discontinued on or the conditions under which the business is conducted have changed for the following reason: I therefore desire to file this certificate of discontinuance. In Witness Whereof, I have this day of made and signed this certificate. STATE OF NEW YORK COUNTY OF CORTLAND On the of the year before me, the undersigned, a Notary Public in and for said State, personally appeared, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity and that by his/her signature on the instrument, the individual or the person upon behalf of which the individual acted, executed the instrument. Notary Public