Renewal Certificate of Transaction of Business Under Fictitious Name - General Form Certificate The undersigned_____________________, [Individual or Partnership or Corporation], hereby certifies: 1. That a Certificate of Transaction of Business in the State of __________________under a ficitious name was heretofore filed with the county clerk of ________________ County, State of______________, on ______[date]______, on behalf of the undersigned. 2. That the undersigned is transacting business in the State of __________ under the fictitious name of ________. 3. That the full name and place of residence of each of the undersigned is as follows:_________________________ Or 3. That the principal place of business of said corporation is located at ____________________in the City of__________________,County of __________________,State of ___________________. That this certificate is executed and filed as a renewal certificate (as allowed under Section ______of the Civil Code, and that there has been _______________[no change or a change] in the information required in the original certificate. Dated:______________ _________________________ _________________________ [Signatures] [Acknowledgment]