WITHDRAWAL OF ASSUMED NAME

THE STATE OF TEXAS
COUNTY OF KAUFMAN

THIS IS TO CERTIFY, that I __________________________, on the County of Kaufman, State of Texas, have been connected with the Business of ________________________ as evidenced by the original Certificate on file in the Office of the Kaufman County Clerk, and that I am no longer associated with said business as of _______ day of ______________, 20______.

WITNESS my/our hand at Kaufman, Texas, this the ________day of _______________, 20_____.

STATE OF TEXAS
COUNTY OF KAUFMAN

BEFORE ME, _________________________________, in and for said County and State, on this day personally appeared ___________________________________________________________
Known to me to be the person whose name subscribed to the foregoing Certificate, and acknowledged to me that he/she executed the same for the purpose and consideration therein expressed.

Given under my hand and seal of office, this the _______day of _____________, 20_____.

__________________________ Kaufman County Clerk

__________________________ Deputy Clerk

___________________________ Notary Public

RETURN TO: ___________________________