Cancellation Certificate of Trade Name form (PDF)

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CANCELLATION OF TRADE NAME 
To be filed with the Town Clerk of Waterford 
 
The undersigned  
 
 
 
 
 
   I/We, ________________________________________________________ request that the Trade Name Certificate filed  
 
   in the the Waterford Town Clerk’s Office on _______________________________________ (date), under the name  
 
   of ___________________________________________________ and assigned file # _____________, be cancelled. 
 
    
                                                                                  Corresponding Signature(s) 
 
DO NOT sign at right until 
  
 
in the presence of a Notary 
  
            
or the Town Clerk 
  
 
 
 
State of Connecticut) 
                                    ) ss. Waterford 
County of New London) 
 
  
 
Date 
Personally appeared,   
 
who subscribed and swore to the truth of the foregoing certificate and acknowledged that he/she 
executed the same, before me. 
 
 
 
 
 
Notary or Town Clerk 
 
SIGN