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Page 1 of 1 Revised 10/7/08 APPLICATION TO REGISTER A BUSINESS TO BE CONDUCTED UNDER TRADE NAME, PARTNERSHIP OR OTHERS STATE OF GEORGIA COUNTY OF DAWSON The undersigned does hereby certify that conducting a business as in the City of Dawsonville, County of Dawson, in the State of Georgia, under the name of and that the nature of the business is and that the names and addresses of the persons, firms, or partnerships owning and carrying on said trade or business are: Subscribed and sworn to before me this Signature day of , 20 Title Notary Public Filed in office, this day of ,20 Clerk, Superior Court – Dawson County, Georgia Note: The Act requires that this notice be published once a week for two weeks in the paper in which the Sheriff’s advertisements are printed. This paper is . Also, upon change of ownership, a new and amended registration must be filed. (GA Laws 1981, p. 872).