Statement Of Abandonment Of Use Of A Business Or Professional Name Form

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STATEMENT OF ABANDONMENT OF USE OF A
BUSINESS OR PROFESSIONAL NAME
The assumed business or professional name being abandoned is:
The original date on which the assumed name certificate was filed
in
the office
in
which this
statement is being filed was: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Other filing offices where the certificate has been filed:
The registrant's name and residence or office address as would be required to be stated if the
Assumed Name certificate were being presently filed is: _ _ _ _ _ _ _ _ _ _ _ _ __
To certify which, witness my/our hand(s) the _ _day of _ _ _ _ _ _ _ _ _ , _ _ __
Signature of Withdrawing Party or Parties: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
THE STATE OF TEXAS
}
COUNTY OF DENTON
}
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
acknowledged to me that
he
is/are the owner(s) of the above named business and that _he_
signed the same for the purpose and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, on _ _ _day of_________
Notary Public in and for State of Texas
My Commission Expires _ _ _ _ __
(seal)
CYNTHIA MITCHELL, DENTON COUNTY CLERK.
By:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _,Deputy
STATEMENT OF ABANDONMENT OF USE OF A BUSINESS OR
PROFESSIONAL NAME
The assumed business or professional name being abandoned is:
__________________________________________________________________________________
The original date on which the assumed name certificate was filed in the office in which this statement is
being filed was: _____________________________________
Other filing offices where the certificate has been filed:
__________________________________________________________________________________
The registrant's name and residence or office address as would be required to be stated if the Assumed
Name certificate were being presently filed is:
__________________________________________________________________________________
To certify which, witness my/our hand(s) the ______ day of ________________________, ________
Signature of Withdrawing Party or Parties: ______________________________________________
______________________________________________
______________________________________________
THE STATE OF TEXAS }
COUNTY OF DENTON }
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
acknowledged to me that __he__ is/are the owner(s) of the above named business and that __he__
signed the same for the purpose and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, on _____day of_________________, _______
___________________________________________
Notary Public in and for State ofTexas
My Commission Expires __________
(seal)
JULI LUKE, DENTON COUNTY CLERK
By:_______________________________, Deputy

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