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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 DOING BUSINESS UNDER AN ASSUMED NAME (D/B/A) I DO HEREBY CERTIFY that I am conducting or transacting business in Cortland County pursuant to Section 130 of the New York State General Business Law: Business Name: Address: My full name and place of residence is: Name: Address: I FURTHER CERTIFY that I am the successor in interest to who formerly used this name to conduct or transact business. (Former owner, if applicable) I FURTHER CERTIFY (if under 18) that I am years of age. In Witness Whereof, I/we 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(s) whose name(s) are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity and that by his/her/their signature(s) on the instrument, the individual or the person upon behalf of which the individual acted, executed the instrument. Notary Public