Veterans Organization Solicitors Quarterly Report - Texas Secretary Of State Page 2

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5. The name and address of the person representing the veterans organization to which the amount
was paid is as follows:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Executed the ____________ day of ____________________________, __________.
____________________________________________
(Solicitor's Signature)
____________________________________________
(Printed Name & Title)
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<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>
Mail this report and the $50.00 filing fee to:
Secretary of State
Registrations Unit
P. O. Box 13550
Austin, TX 78711-3550
For delivery:
James Earl Rudder Office Building
th
1019 Brazos, 5
Floor
Austin, Texas 78701

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