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Application for Cancellation of Assumed Corporate Name (Tennessee)

This is an application for cancellation of an assumed corporate name in Tennessee. The form provided here is simply a sample of what the actual Form SS 4405 looks like.

For Office Use Only


Corporate Filings
312 Eighth Avenue North
6th Floor, William R. Snodgrass Tower
Nashville, TN 37243

Pursuant to the provisions of Section 48-14-10l(e) of the Tennessee Business Corporation Act or Section 48-54-l01(e) of
the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this application:

1. The true name of the corporation is __________________________

2. The state or country of incorporation is


3. The corporation intends to cease transacting business under an assumed corporate name by cancelling it.

4. The assumed corporate name to be cancelled is


Signature Date __________________________

Name of Corporation __________________________

Signer's Capacity __________________________

Signature __________________________

Name __________________________ (typed or printed)

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