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

Assumed Name (Dba) Certificate Of Ownership For Unincorporated 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 UNINCORPORATED BUSINESS OR PROFESSION

NOTICE:

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

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 Unincorporated Business Or Profession - Bell County

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