STACEY KEMP, COUNTY CLERK
COLLIN COUNTY, TEXAS
2300 BLOOMDALE RD, SUITE 2106
MCKINNEY, TX 75071
ASSUMED NAME CERTIFICATE OF OWNERSHIP
FOR INCORPORATED BUSINESS OR PROFESSION
1.
_________________________________________________________________________________________________
Name of Business or Professional Service
(Please Print or Type)
2.
_________________________________________________________________________________________________
Business Address
City
State
Zip
3.
_________________________________________________________________________________________________
Name of the incorporated Business or Profession as stated in its Articles of Incorporation
Certificate Number
. ______________State in which business was incorporated:______________________,
(If applicable)
Address of registered office in that jurisdiction:
_________________________________________________________________________________________________
Physical Address
City
State
Zip
Name of registered agent: ___________________________________________________________________________.
5.
The corporation is a
: (Please check one)
________Business Corporation
_______Non-profit Corporation
_________L.L.C
________Professional Corporation
_______Other
(Please specify) ______________________________________
6.
The period during which the assumed name will be used is _____ years. Pursuant to Title 4, Chapter 36.11 of the
Texas Business and Commerce Code, Certificates of Ownership are valid for a period not to exceed 10 years during
which the assumed name will be used.
7.
The county or counties where business or professional services are being or are conducted or rendered under such
assumed name are
(if applicable, use the designation “all” or “all except”) ____________________________________________________________________.
8.
If this Instrument is executed by the attorney-in-fact, he/she has been duly authorized in writing,
by his/her principal to execute and acknowledge this instrument.
By:________________________________________________________________
Signature and Title of Officer, Representative, or Attorney-in-fact
THE STATE OF TEXAS
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COUNTY OF COLLIN
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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
(Seal)
instrument, and acknowledged to me that he/she executed the same for
the purpose therein expressed.
Given under my hand and seal of office, this ___________________day of ___________________, 20_____.
____________________________________________
Printed Name of Notary or County Clerk
____________________________________________
Signature of Notary or Deputy Clerk