STATE OF MAINE
CERTIFICATE OF SOLE PROPRIETOR
ADOPTING NAME OTHER THAN HIS OWN
(M.R.S.A. Title 31, Sec. 2)
The undersigned hereby certifies that he/she intends to engage in the ____________________________________________
____________________________________________________________________ business as SOLE PROPRIETOR,
and to adopt the name, style, or designation of ____________________________________________________________
_______________________________________________________________________________________________
in the conduct of said business located at: _______________________________________________________________
____________________________________
Name of Proprietor
____________________________________
Address
____________________________________
City State Zip
__________________________________
Signature of Proprietor
____________________________ss,________________________________AD 20______
Personally appeared before me the above signed __________________________________________________________
and made oath to the truth of the above certificate on this _______ day of __________ 20 ____
__________________________________________
Notary Public / Attorney-at-Law