ASSUMED NAME
CERTIFICATE
FILE #
THE
STATE OF
KNOW ALL MEN BY THESE PRESENTS:
COUNTY
OF __________________________________ }
THAT
_____________________________________________________ , the undersigned, for the purpose
of complying with Chapter 36, Title 4, Business and Commerce Code of the State of
1.
________________________________________________________________________________ is
the assumed name under which the business or professional services is or is to be
conducted or rendered.
2.
Registrant:
___________________________________________________________________________ 1 .
3.
Names and Addresses: 2
_____________________________________________________________
____________________________________________________________________
Name
_____________________________________________________________
____________________________________________________________________
Title 3
Address
_____________________________________________________________
____________________________________________________________________
Name
_____________________________________________________________
____________________________________________________________________
Title
Address
_____________________________________________________________
____________________________________________________________________
Name
_____________________________________________________________
____________________________________________________________________
Title
Address
_____________________________________________________________
____________________________________________________________________
Name
_____________________________________________________________
____________________________________________________________________
Title
Address
Said Company/Corporation was duly
associated/incorporated under the laws of ______________________________
Circle one
Circle one
and its registered or similar office
address there is ______________________________________________________
______________________________________________________________________________________________4 .
County or counties within the State of
_____________________________________________________________________________________________
5 .
4.
The business or professional service is a: 4 _________________________________________________________ 6
The corporation is a: 4 _________________________________________________________________________
5.
The period, not to exceed ten (10) years, during which the assumed name will be
used is from the ________day of _______________________, 20________ until the _________day
of _______________________, 20______.
IN TESTIMONY WHEREOF, _____________have
hereunto set __________hand _____________, this the _________day of ____________________,
20______.
_________________________________________
_________________________________________
_________________________________________
_________________________________________
SWORN
TO AND SUBSCRIBED BEFORE ME this _________ day of __________________________, 20_____.
_________________________________________
* Instructions on the next page
THE
STATE OF TEXAS
County
of __________________________
Before me, _____________________________
________________________________________________in
and for said County and State, on this day
personally
appeared _____________________________________________________________________
______________________________________________________________________________________
____________________________________________known to me to be the person ___________________whose
name
_____________________________________________subscribed to the foregoing certificate, and
acknowledged
to me that _______________________he________________________ executed the same
for
the purpose and consideration therein expressed.
Given under my hand and seal of office, this _________day of __________________A.D.
20__.
______________________________________
______________________________________
*1. Indicate whether the registrant is: and Individual; a Partnership; an Estate; a Real Estate Investment Trust; a Company; a Corporation.
2. If the registrant is:
a. An individual, full name and residence address;
b. a Partnership, the venture or partnership name, the venture of partnership office address, the full
name of each joint venturer or general partner and their residence address if an individual, or its
office address if not an individual;
c. an Estate, the name of the estate, the estate’s office address, if any, and the full name of each
representative of the estate, residence address, if an individual, or its office address if not an
individual;
d. a Real Estate Investment Trust, the name of the trust, the address of the trust, the full name of each
trustee manager, residence address, if an individual, or its office address if not an individual;
e. a Company, other than a real estate investment trust, or a corporation, the name of the company or
corporation, the state, county or other jurisdiction under the laws of which it was organized,
incorporated, or associated, and its office address;
f. a Corporation, the name of the corporation as stated in its articles of incorporation or association or
comparable document, the state, county, or other jurisdiction under the laws of which it was incorp-
orated or associated and address of its registered or similar office in that state, county, or jurisdict-
ion, if required to maintain a registered office in this state, the address of such registered office and
the name of its registered agent at such address, and the address of its principal office if not the
same as that of its registered office in this state; if the corporation is not required to or does not
maintain a registered office in this state, its office address in this state and if the corporation is not
incorporated, organized or associated under the laws of this state, the address of its place of
business in this state and its office address elsewhere, if any.
3. Insert titles as: individual, general partner, joint venturer, representative, trustee manager, company/
Corporate office, attorney in fact and registered agent and/or indicate registered office address, etc.
4. Strike if not applicable.
5. Required to be completed by corporations only.
6. Insert form of business/corporation as: proprietorship, sole practitioner, joint venture, general partnership,
Limited partnership, real estate investment trust, joint-stock company, or some other form of
Unincorporated business or professional association or entity; or for corporations; business corporation,
Nonprofit corporation, professional corporation, or some other type of incorporated business, professional
or other association, or legal entity.
FOR OFFICE USE ONLY |
FILE #_______________ |