ASSUMED NAME RECORDS (d.b.a.)
CERTIFICATE OF OWNERSHIP FOR UNINCORPORATED BUSINESS OR PROFESSION
(This certificate properly executed is to be filed immediately with the County Clerk)
NAME IN WHICH BUSINESS IS OR WILL BE CONDUCTED
___________________________________________________________________________________
(PRINT CLEARLY OR TYPE)
_______________________________________________________
:
BUSINESS ADDRESS
____________________________________________________________
MAILING ADDRESS:
(IF DIFFERENT FROM BUSINESS ADDRESS)
_________________________
______________
_________________
CITY:
STATE:
ZIP CODE:
_______________
PERIOD (NOT TO EXCEED 10 YEARS) IN WHICH ASSUMED NAME WILL BE USED
NOTICE: “Certificate of Ownership” ARE VALID ONLY FOR A PERIOD NOT TO EXCEED 10 YEARS FROM THE DATE FILED IN THE COUNT CLERK’S
OFFICE (Chapter, Sec 1, Title 4 Business and Commercial Code)
BUSINESS IS TO BE CONDUCTED AS (CHECK ONE):
General Partnership ____
Limited Partnership ____
Corporation ____ Sole Proprietorship ____
Registered Limited Liability Partnership ____
Limited Liability Company ____
CERTIFICATE OF OWNERSHIP
I/We, the undersigned, am/are the owner (s) of the above business and my/our name(s) and address(s) given is/are true
and correct, and there is/are no ownership(s) in said business other then those listed herein below.
Name _________________________________________
Signature ______________________________________
Address _______________________________________
City _______________ St ________ Zip code ________
(Residence)
Name ________________________________________
Signature ______________________________________
Address ______________________________________
City _______________ St ________ Zip code ________
(Residence)
Name ________________________________________
Signature ______________________________________
Address ______________________________________
City _______________ St ________ Zip code ________
(Residence)
Name ________________________________________
Signature ______________________________________
Address ______________________________________
City _______________ St ________ Zip code ________
(Residence)
____________________________________________________________________________________________________________
(Acknowledgment)
STATE OF TEXAS
COUNTY OF ____________
This instrument was acknowledged before me this the _______ day of __________________, 20______
by ________________________________________________________
________________________________________.
(Seal)
Office use only
______________________________________
Notary Public, State of Texas
______________________________________
Printed Name of Notary
My commission expires
: __________________