THE COUNTY OF BURNET
COUNTY CLERK – JANET PARKER
BURNET, TEXAS
22O S. PIERCE, BURNET, TEXAS 78611
ASSUMED NAME CERTIFICATE FOR UNINCORPORATED BUSINESS OR PROFESSION
NOTICE: “CERTIFICATE OF OWNERSHIP” ARE VALID ONLY FOR A PERIOD NOT TO EXCEED 10 YEARS FROM THE DATE FILED IN THE COUNTY
CLERK’S OFFICE. (CHAPTER 36, SEC. 1, TITLE 4 – BUSINESS AND COMMERCE CODE) THIS CERTIFICATE PROPERLY EXECUTED IS TO BE FILED
IMMEDIATELY WITH THE COUNTY CLERK.
___________________________________________________________________________
Business Name
__________________________________________________________________________
Business Address
City ___________________________________________________ State __________________ Zip Code ________________
This Assumed Name will be used for 10 years unless indicated here: ________
Business is to be conducted as: (check one)
___Proprietorship
____Sole Practitioner
___General Partnership
___Limited Partnership
____Real Estate Investment Trust
___Joint Stock Company
____Joint Venture
___Other __________________________
CERTIFICATE OF OWNERSHIP
I/WE, THE UNDERSIGNED ARE THE OWNER(S) OF THE ABOVE BUSINESS AND MY/OUR NAME(S) AND ADDRESS(ES) GIVEN IS/ARE TRUE
AND CORRECT AND THERE IS/ARE NO OWNERSHIP(S) IN SAID BUSINESS OTHER THAN THOSE LISTED HEREIN BELOW.
Name of owners:
Name_____________________________________________________Signature________________________________________
_____________________________________________City_________________________State_____Zip________
Residence Address
Name_____________________________________________________Signature________________________________________
_____________________________________________City_________________________State_____Zip________
Residence Address
Name_____________________________________________________Signature________________________________________
_____________________________________________City_________________________State_____Zip________
Residence Address
The State of Texas and County of _________________:
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/she/they signed the same for purpose and consideration therein expressed.
Given under my hand and seal of the office, on ______________________________, 20____.
CLERK USE ONLY
__________________________________________
Notary Public, State of Texas