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Corporation Adopting A Fictitious Name For Use In The State Of South Carolina

This is for a corporation to adopt a fictitious name in South Carolina. The form provided here is simply a sample of what the actual Form 101 looks like.

STATE OF SOUTH CAROLINA
SECRETARY OF STATE

CORPORATION ADOPTING A FICTITIOUS NAME
FOR USE IN THE STATE OF SOUTH CAROLINA

TYPE OR PRINT CLEARLY IN BLACK INK

I, the undersigned _______________________________________________, do hereby certify that the following is a true, complete, and correct copy of a certain resolution of the Board of Directors

of _______________________________________________, which resolution was duly adopted at a duly called meeting of the said Board,

held on _________________________ (date), a quorum being present, and is set forth in the minutes of said meeting; that I am the keeper of the corporate seal and of the minutes and records of this corporation; and the said resolution has not been rescinded or modified:

"Resolved that _______________________________________________,

organized and existing in the State of _______________________,

hereby adopts the name ___________________________________________ for use in the State of South Carolina for all purposes, and further resolved that the officers of the corporation are authorized and directed to take all steps that they deem necessary and appropriate to qualify the corporation to do business within the State of South Carolina under the name:

____________________________________________________________."

IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the seal of said corporation

on this the ___________ day of ______________________________________.

________________________________

Officer's Signature

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INSTRUCTIONS FOR FILLING IN FORM
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1. Two copies of this form, the original and either a duplicate original or a conformed copy must be filed.

2. Filing Fee (payable to the Secretary of State at the time of filing this document) - $10.00

Return to: Secretary of State
P.O. Box 11350
Columbia, SC 29211

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