Instructions For Form 504

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INSTRUCTIONS
1.
A registrant that ceases to transact business or render professional services under an
assumed name for which a certificate has been filed may utilize this form for purposes of
filing an abandonment of use pursuant to the Texas Business & Commerce Code, section
36.14. The name of the corporation, limited liability company, limited partnership or
registered limited liability partnership in item 1 of the statement should be the name of
the entity as it is stated in its articles of incorporation, articles of organization, certificate
of limited partnership, application for certificate of, or comparable document.
2.
The statement should be signed by an officer, manager, general partner, representative
or attorney in fact of the entity. Prior to signing, please review carefully the statements
set forth in the document. A person commits an offense under section 36.27 of the
Business & Commerce Code if the person signs a document the person knows is false in
any material respect with the intent that the document be delivered to the secretary of
state for filing. The offense is punishable as if it were an offense under section 37.10 of
the Penal Code. This form is designed to meet minimum statutory filing requirements;
no warranty is made regarding the suitability of this form for any particular purpose.
This form and the information provided are not substitutes for the advice of an
attorney.
3.
The filing fee is $10. Send the executed certificate together with the filing fee to the
Secretary of State, Statutory Filings Division, Corporations Section, P.O. Box 13697,
Austin, Texas 78711-3697. The delivery address is 1019 Brazos, Austin, Texas 78701.
The telephone number is (512) 463-5555, TDD: (800) 735-2989, FAX: (512) 463-5709.
4.
Upon filing, the certificate will be placed on record. If a duplicate file-stamped copy is
desired, you must submit a duplicate copy of the document for this purpose.
5.
The information provided in paragraph 3 regarding the registered agent and registered
office address in Texas must match the information on file in this office. To verify the
information on file, you may contact our Public Information Team at (512) 463-5555 or
e-mail at corpinfo@sos.state.tx.us.
6.
Personal checks and MasterCard®, Visa®, and Discover® are accepted in payment of
the filing fee. Fees paid by credit card are subject to a statutorily authorized processing
cost of 2.1% of the total fees. A check or money order must be made payable to the
secretary of state and be payable through a U.S. bank or other financial institution.
7.
This form is designed to meet statutory requirements for filing with the secretary of
state and is not designed for filing with the county clerk.. Assumed name documents
filed with the county clerk are to be executed and acknowledged by the filing party,
which requires that the document be notarized. All assumed name certificates to be filed
with the county clerk must be sent directly to the appropriate county clerk and not to
the secretary of state.
Form No. 504
Revised 9/99

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