Laserfiche WebLink
VOWN <br /> O <br /> TOWN OF MASHPEE <br /> �y. <br /> co`� Statement of Discontinuance,Change of Residence,Change of Location of Business, <br /> Withdrawal, or Deceased from Business or Partnership,Change of Business Name or Owner Name <br /> DATE <br /> The Town is desirous of going"Green" as much as possible.To that end,please include your email address. <br /> Email Address: <br /> Discontinuance <br /> In conformity with the provisions of Chapter one hundred and ten, section five, of the General <br /> Laws, as amended, the undersigned hereby e(s) that re has (have) this day discontinued (retired <br /> from) (withdrawn from) the business of /'07 C�)OS f 4i,-,0-VCAPj u 9 <br /> conducted at CoA, /A,j v M 80 S /J/ b, 1,ty\ <br /> STREET <br /> SIGNATURE'/ <br /> Change of Location of Business <br /> I hereby state that the location of the business/my residence as it appears on the Business Certificate filed <br /> • on has been changed to <br /> Name of Business <br /> SIGNATURE <br /> Change of Name of Business or Owner <br /> I hereby state that the name of the business or the owner as it appears on the Business Certificate has <br /> been changed from <br /> to <br /> SIGNATURE <br /> I Notary <br /> Barnstable ss. <br /> Date <br /> Personally appeared before me the above named and made oath <br /> that the foregoing statements are true. <br /> Name-Notary Public <br /> Commission Expires <br /> Origform/Discont i nuance <br />