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An assumed name certificate must include a stated term or duration for the filing, which cannot exceed 10 years from the date of filing. This form may be used to draft your Certificate of Termination of Assumed Name.A document required or permitted to be filed. Complete and file the Certificate of Discontinuance of Assumed Name with the Department of State. Insert the assumed name for the business. This is a request to cancel the Certificate of Assumed Name currently on record with the Office of the. Secretary of State. 1. Proper name of a business entity: the complete name as shown in the records of the Secretary of State - including its entity identifier. Submit original completed paperwork to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204. 344, Pt. B, §15 (NEW).