Nancy E. Rister
Williamson County Clerk
ASSUMED NAME
CERTIFICATE OF OWNERSHIP FOR UNINCORPORATED BUSINESS
NAME IN WHICH BUSINESS IS OR WILL BE CONDUCTED:
BUSINESS ADDRESS
CITY _______________________________________STATE _______________________ZIP
HOME PHONE______________________________ BUSINESS PHONE_______________________________
(OPTIONAL)
(OPTIONAL)
E-MAIL ADDRESS____________________________________________________________________________
(OPTIONAL)
Notice: “Certificates of Ownership” are valid only for a period not to exceed 10 years from the date filed.
BUSINESS IS TO BE CONDUCTED AS (check one):
____ Sole Proprietorship
____ Joint Venture
____ General Partnership
____ Sole Practitioner
____ Other ___________________________
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 than those listed herein below.
I/We have conducted a search of the indexes of Assumed Names of Williamson County, Texas, and do not find the
above business name being used prior to this filing.
NAMES OF OWNERS
NAME _______________________________________SIGNATURE ____________________________________
ADDRESS/CITY/STATE_______________________________________________________ZIP______________
NAME _______________________________________SIGNATURE____________________________________
ADDRESS/CITY/STATE_______________________________________________________ZIP______________
NAME _______________________________________SIGNATURE____________________________________
ADDRESS/CITY/STATE_______________________________________________________ZIP______________
NAME _______________________________________SIGNATURE ____________________________________
ADDRESS/CITY/STATE_______________________________________________________ZIP______________
THE STATE OF TEXAS
COUNTY OF WILLIAMSON
BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared
_____________________________________________________________________________________________
_____________________________________________________________________________________________
known to me to be the person__ whose name__ is/are subscribed to the foregoing instrument and acknowledged to
me that __he__ is/are the owner(s) of the above named business and that __he__ executed the same for the purposes
and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, this the ______ day of _____________________,
20____.
(Seal)
_______________________________________________
Notary Public in and for the State of Texas
Revised 03/20/12