Mississippi Code Title 75. Regulation of Trade, Commerce and Investments § 75-93-15

(a) The legal name of the entity utilizing the fictitious business name;

(b) The fictitious business name with respect to which the statement of withdrawal relates;

(c) That the entity will no longer transact business in this state under the fictitious business name;

(d) An acknowledgement that the applicant understands the fictitious business name registration will no longer be effective upon the filing of the statement of withdrawal; and

(e) The signature of the withdrawing registrant.