Form 3008—General Information
(Health Spa Affidavit for Release of Escrow)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Health Spas are governed by Chapter 702 of the Texas Occupations Code (the “Health Spa Act”) and the
secretary of state’s administrative rules found in 1 Texas Administrative Code Chapter 102. This form is
designed to meet the minimum requirements for the release of an escrow account pursuant to Section 702.356
of the Health Spa Act. An Affidavit for Release of Escrow may be filed with the secretary of state after the
health spa has been open for more than thirty days.
Instructions for Form
Identifying Information: It is recommended that the registration number assigned by the Secretary of
State be provided to facilitate processing of the document. The certificate holder is the person who
holds the health spa registration certificate. The certificate holder’s name must match the name on the
health spa registration application. The affiant is the individual swearing to or affirming the contents of
the Affidavit for Release of Escrow. The health spa is the health spa for which the affidavit is being
filed.
Statement: For release of the certificate holder’s escrow account, the statement contained in this section
must be true and sworn to by the affiant.
Execution: The affiant must sign and date the notice before a notary public or other official who has
authority to administer an oath.
Delivery Instructions: The form may be mailed to the Secretary of State, Registrations Unit, P.O. Box
13193, Austin, Texas 78711-3193 or delivered to the James Earl Rudder Office Building, 1019 Brazos,
st
1 Floor, Austin, Texas 78701. Upon filing of the Affidavit for Release of Escrow, the secretary of state
will acknowledge receipt and return a copy to the certificate holder.
Revised 12/2014
Form 3008
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HEALTH SPA AFFIDAVIT FOR
RELEASE OF ESCROW
Form 3008 (Revised 12/2014)
Submit to:
Secretary of State
Registrations Unit
P.O. Box 13193
Austin, TX 78711-3193
Phone: 512-475-0775
Fax: 512-475-2815
Filing Fee: None
Identifying Information
Name of Certificate Holder (must match name on health spa registration application):
Name of Affiant:
Name of Health Spa:
Statement
Affiant certifies that:
1. Affiant is authorized to execute this affidavit on behalf of Health Spa;
2. Health Spa has been open for at least thirty days;
3. All obligations of Health Spa for which a lien may be claimed under Chapter 53, Texas Property
Code, have been paid; and
4. No person is eligible to claim a lien against Health Spa under Chapter 53, Texas Property Code.
Execution
Date:
Signature of Affiant
Printed or typed name of Affiant
State of )
County of )
Sworn to and subscribed before me this day of , 20 .
(seal)
Notary Public Signature
Acknowledgement
This Affidavit for Release of Escrow was received by the Office of the Secretary of State.
Date:
Signature of authorized person FOR SECRETARY OF STATE
Printed or Typed Name
Title
Form 3008
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