Assumed Name Application (Unincorporated) - Tarrant County
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1ASSUMED NAME CERTIFICATE
FOR AN UNINCORPORATED BUSINESS OR PROFESSION
NOTICE: “CERTIFICATES” ARE VALID ONLY FOR A PERIOD NOT TO EXCEED 10 YEARS FROM THE DATE FILED IN THE COUNTY CLERK’S OFFICE.
(Chapter 36, Title 4 Business and Commerce Code)
This certificate properly executed is to be filed immediately with the County Clerk
* * * *
(P
T
)
RINT OR
YPE
NAME UNDER WHICH BUSINESS OR PROFESSIONAL
SERVICES IS OR WILL BE CONDUCTED:
Address:
City:
State:
Zip Code:
Period (not to exceed ten years) during which the assumed name will be used is:
Business is to be conducted as (Check one):
Sole Proprietorship
Sole Practitioner
Joint Venture
General Partnership
Limited Partnership
Real Estate Investment Trust
Joint Stock Company
Other (name type):
CERTIFICATE OF OWNERSHIP
I/We, the undersigned, are the owner(s) of the above business and my/our name(s) and address(es) are given is/are true and correct, and
there is/are no ownership(s) in said business other than those listed herein below.
– NAMES OF OWNERS –
NAME
SIGNATURE
(Print or Type)
Address
Zip Code
NAME
SIGNATURE
(Print or Type)
Address
Zip Code
NAME
SIGNATURE
(Print or Type)
Address
Zip Code
NAME
SIGNATURE
(Print or Type)
Address
Zip Code
NAME
SIGNATURE
(Print or Type)
Address
Zip Code
THE STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared
Known to me to be the person(s) whose name(s) is/are subscribed to the foregoing instrument and under oath, acknowledged to me that
they are the owner(s) of the above-named business and that they signed the same for the purpose and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, on
,
(SEAL)
Notary Public in and for
County
MARY LOUISE GARCIA, COUNTY CLERK
By
, Deputy
CC-9 GPC-1035 Rev. 8/08
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