CERTIFICATE OF TRADE NAME - Sussex County

1 Sussex County Clerk s Office CERTIFICATE OF TRADE name 83 Spring Street, Suite 304 Newton, NJ 07860 Phone: 973-579-0900 Email: NOTE: This form must be completed and then signed before a notary; a fee of $50 payable in cash or money order is due at time of submission. The undersigned hereby certify the following, pursuant to the provisions of NJSA 56:1-1 et seq ( Business and Partnership Names ): I (or We), the undersigned, certify that I (or we) intend to conduct and transact business under the name of: (For Recorder s Use Only) The nature or type of business is: The business mailing address is: Street , Apt# Town State Zip Code Physical address of business is.

2 Street name Municipality or Township County The true and real full name of the person(s) who will transact said business, and the full post office address(es) of said person(s) is (are) as follows: (Print or type real and full name here) (Print or type full address) (Print or type real and full name here) (Print or type full address) (Print or type real and full name here) (Print or type full address) (Print or type real and full name here) (Print or type full address) Each of the undersigned who is not resident in the State of New Jersey constitutes the Sussex County Clerk, and his/her successors in office, the true and lawful attorney of such non-resident person(s) upon whom all original process may be served (a)

3 In an action or legal proceeding against said firm or partnership or (b) in an action against said person(s) for any debt, damages, or liability contracted or incurred by them in, or growing out of, the conduct or transaction of said business in the State of New Jersey. It is agreed that such original process which may be served upon said County Clerk shall be of the same force and validity as if served upon said non-resident person(s) of the firm or partnership. The authority hereof shall, as to such non-residents, continue in force so long as they shall conduct or transact said business in the State of New Jersey under such name . Each of the undersigned acknowledges that he/she has researched the fictitious name he/she wishes to use for the business and has thus established that said name is available for use.

4 This TRADE name CERTIFICATE will give the owner(s) of said name the right to use the chosen name within the jurisdiction of Sussex County . This CERTIFICATE , however, does not preclude the use of this name by an incorporated entity or by an entity outside of Sussex County . AFFIDAVIT The undersigned, being duly sworn upon his, her on their oath, according to law, say that he, she or they have read the foregoing CERTIFICATE and that the statements therein are true. State of New Jersey, County of Sussex , Sworn and subscribed to before me this _____ day of _____ , 20_____. (Signature of Business Member) (Signature of Business Member) (Signature of Business Member) (Signature of Business Member) Signed by Attorney, Notary Public or other person authorized under law to take oath in New Jersey.

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