CROWN LAUREL BOUTIQUE
STATE OF MINNESOTA
SECRETARY OF STATE
Minnesota Statutes Chapter 333
The filing of an assumed name does not provide a user with exclusive rights to that name. The filing is required for consumer protection in order to enable consumers to be able to identify the true owner of a business.
1. ASSUMED NAME: Crown Laurel Boutique
2. PRINCIPAL PLACE OF BUSINESS: 3290 St. Croix Trail South, Afton MN 55001, USA
3. NAMEHOLDER(S): Raenette Lyn Manderfeld-Pung 14801 Afton Blvd. Court, Afton, MN 55001
4. By typing my name, I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document, I am subject to the penalties of perjury as set forth in Minnesota Statutes section 609.48 as if I had signed this certificate under oath.
SIGNED BY: /s/Raenette Manderfield-Pung
MAILING ADDRESS: 14801 Afton Blvd. Court, Afton, MN 55001
EMAIL FOR OFFICIAL NOTICES: firstname.lastname@example.org