Assumed Name (Dba) Certificate Of Ownership For A Business Or Profession

Assumed Name (Dba) Certificate Of Ownership For A Business Or Profession - Bell County

Shelley Coston

Record #

County Clerk, Bell County

P.O. Box 480

Belton, Texas 76513

ASSUMED NAME (DBA) CERTIFICATE OF OWNERSHIP

FOR A BUSINESS OR PROFESSION

“Assumed Names/DBA” are valid only for a period not to exceed 10 years from the date filed in the County Clerk’s

NOTICE:

Office. THE COUNTY CLERK IS NOT RESPONSIBLE FOR VERIFYING THE ACCURACY OF THE

INFORMATION CONTAINED IN AN “ASSUMED NAME/DBA” CERTIFICATE. THIS CERTIFICATE

PROPERLY EXECUTED IS TO BE FILED IMMEDIATELY WITH THE COUNTY CLERK.

BUSINESS NAME: _______________________________________________________________________

PHYSICAL BUSINESS ADDRESS: _________________________________________________________

CITY: _________________________________ STATE: __________________ ZIP CODE: _____________

BUSINESS/OWNER’S PHONE NUMBER: _____________________________________________

BUSINESS IS TO BE CONDUCTED AS (CHECK ONLY ONE):

□ GENERAL PARTNERSHIP

□ SOLE PROPRIETORSHIP

□ LIMITED PARTNERSHIP

□ OTHER _________________________

CERTIFICATE OF OWNERSHIP

I/We, the undersigned, are the owner(s) of the above business and my/our name(s) and physical address(es) 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:_____________________________________

Residence Address: ____________________________________Zip:_____________DOB:______________

Name:_____________________________________Signature:_____________________________________

Residence Address: ____________________________________Zip:_____________DOB:______________

Name:_____________________________________Signature:_____________________________________

Residence Address: ____________________________________Zip:_____________DOB:______________

Name:_____________________________________Signature:_____________________________________

Residence Address: ____________________________________Zip:_____________DOB:______________

THE STATE OF TEXAS AND COUNTY OF BELL

This instrument was acknowledged before me on ______________________________________,_________

by______________________________________________________________________________________

(BUSINESS OWNER/OWNERS’ NAME(S) MUST APPEAR HERE)

GIVEN UNDER MY HAND AND SEAL OF OFFICE, on ____________________________ ,__________

SHELLEY COSTON, BELL COUNTY CLERK

FOR RECORDING PURPOSES ONLY

__________________________________________________________

BY: DEPUTY COUNTY CLERK

“OR”

__________________________________________________________

NOTARY PUBLIC

(SEAL)

Assumed Name (Dba) Certificate Of Ownership For A Business Or Profession - Bell County

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