Fillable 3901 Notification Statement for Out-of-State Business Entities Pursuant to Chapter 112, Business & Commerce Code

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3901 Notification Statement for Out-of-State Business Entities Pursuant to Chapter 112, Business & Commerce Code

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Notification Statement For Out-of-
State Business Entities Pursuant to
Chapter 112, Business &
Commerce Code
Form 3901 (Rev. 09/2017)
Submit in duplicate to:
Secretary of State
P.O. Box 13697
Austin, TX 78711-3697
512 463-5555
FAX: 512 463-5709
Filing Fee: No Fee
Entity Information
1. The name of the business entity is:
2. The entity was formed under the laws of:
3. The federal employer identification number of the entity is:
Principal Office
4. The address of the entity's principal office is:
Street Address City State Country Zip Code
Date Entity Entered the State
5. The entity first entered Texas on the following date:
mm/dd/yyyy
Contact Information
6. Name of contact person:
7. Mailing Address:
Street Address or P.O. Box City State Country Zip Code
This space reserved for
office use
Form 3901 (Rev. 09/2017)
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3901 Notification Statement for Out-of-State Business Entities Pursuant to Chapter 112, Business & Commerce Code

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Completed 2 July 2020

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