Fillable Form 4.: John F. Warren, COUNTY CLERK (Dallas County, Texas)

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Form 4.: John F. Warren, COUNTY CLERK (Dallas County, Texas)

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John F. Warren, COUNTY CLERK
DALLAS COUNTY, TEXAS
1201 ELM ST, SUITE 2200
DALLAS, TX 75270
ASSUMED NAME RECORDS
CERTIFICATE OF OWNERSHIP FOR UNINCORPORATED BUSINESS OR PROFESSION
Pursuant to Title 5, §71.151(a) of the Texas Business and Commerce Code, Certificates of Ownership are valid for a period not to exceed
10 years during which the assumed name will be used.
1. _______________________________________________________________________________________________
Name under which Business or Professional Service will be conducted
(Please Print or Type)
2. _____________________________________________City _________________________State______ Zip_______
Business Address
3. The
period, not to exceed (10) years, during which the assumed name will be used is _______ year
s.
4.
The Business or Professional Service under this Assumed Name will be conducted as a:
(Please check one)
_____Proprietorship _____ Sole Practitioner (Dr/Lawyer/etc) _____ General Partnership
_____Limited Partnership _____Joint Venture _____ Joint Stock Company
_____Real Estate Investment Trust _____ Non-Profit ______Other
5. List the name(s) and complete street address of Owner (s) under the above Assumed Name.
(Please Print)
Name Street City State Zip
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________________ __________________________________________
Signature Signature
______________________________________ __________________________________________
Signature Signature
THE ST
ATE OF TEXAS, COUNTY OF DALLAS
BEFORE ME, THE UNDERSIGNED AUTHORITY,
on this day personally appeared___________________
______________________________________________
______________________________________________
known to me to be the person(s) whose name is/are
subscribe to the foregoing instrument and
acknowledge to me that he executed the same for the
purpose and consideration therein expressed.
Given under
my hand and seal of office, this ________day of _____________________, 20_______.
JOHN F. WARREN, COUNTY CLERK
By________________________________________Deputy__________________________________
Notary Public in and for Dallas County
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Form 4.: John F. Warren, COUNTY CLERK (Dallas County, Texas)

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Completed 16 June 2021

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