Business Opportunity Registration Form - Texas Secretary Of State Page 6
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13Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Other Responsible Persons
(names, addresses, and titles of any other persons responsible for the seller’s business
activities relating to the sale of business opportunities)
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Sales Periods
(required by § 51.154)
1. Period during which the seller has sold business opportunities:
2. Period during which the seller has sold business opportunities involving the products, equipment,
supplies, or services the seller is offering to the purchaser:
Services Description
(required by § 51.155)
Detailed description of the actual services the seller undertakes to perform for the purchaser:
For each location at which the seller promises to perform services in connection with the placement of
products, equipment, or supplies, state (a) the full nature of those services; and (b) the nature of any
agreements to be made with the owners or managers of the location
:
(enter N/A if no such location)
Business Opportunity Disclosure Statement
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