Free - New Hampshire

FEE: $10.00
Payable To: State of New Hampshire

State of New Hampshire
Department of State
Corporate Division Concord Tel. 603-271-3244

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HELP LINE TDD ACCESS: RELAY NH 1-800-735-2964

Location: State House Annex - 3rd floor Mailing Address: Corporate Division, Department of State 107 North Main St., Concord, NH 03301-4989

CERTIFICATE OF WITHDRAWAL IN MEMBERS USING TRADE NAME Be it known that: (PLEASE TYPE OR PRINT CLEARLY)
Name of Owner(s) Withdrawing No. & Street City/Town State Zip

doing business under the trade name
(Business Name)

at (Business Address)
(No.) (Street) (City/Town) (State) (Zip)

has/have withdrawn from said trade name effective
(month / day / year)

.

The owners now comprising the trade name are (if more space is needed, attach additional sheet[s]):
Name of Owners No. & Street City/Town State Zip

Signed: (must be signed by all withdrawing and remaining owners)
Signature Signature Signature Signature Signature Signature Print or type name Print or type name Print or type name Print or type name Print or type name Print or type name

DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form.

Form TN-7 RSA 349:2

3/08
TN-7 V-1.0