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GALVESTON COUNTY, TEXAS COUNTY CLERK (County of Galveston)

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U.S.A. forms for County of Galveston

BROWSE COUNTY OF GALVESTON (TX) FORMS

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DWIGHT D. SULLIVAN,
COUNTY CLERK
GALVESTON COUNTY, TEXAS
STATEMENT OF ABANDONMENT
OF USE OF A BUSINESS OR PROFESSIONAL NAME
_____________________________________________________________________________________________
NAME OF ASSUMED BUSINESS BEING ABANDONED (PRINT OR TYPE)
ADDRESS: __________________________________ CITY: ___________________ STATE: _______ ZIP CODE: ___________
1. The original date on which the assumed name certificate was filed in the office was: _____________________
2. Name other filing offices, if any, where the certificate has been filed: __________________________________
To certify which, witness my/our hand(s) the ______ day of ____________________, 20 ____
*NAMES OF OWNERS*
NAME: _____________________________________________ SIGNATURE: ___________________________________________
(PRINT OR TYPE)
Address: ________________________________________ City: _______________________ State: _______ Zip Code: ___________
NAME: _____________________________________________ SIGNATURE: ___________________________________________
(PRINT OR TYPE)
Address: ________________________________________ City: _______________________ State: _______ Zip Code: ___________
NAME: _____________________________________________ SIGNATURE: __________________________________________
(PRINT OR TYPE)
Address: ________________________________________ City: _______________________ State: _______ Zip Code: ___________
The State of Texas, County of Galveston
BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared
__________________________________________________________________________________________________
Known to me to be the person whose name is subscribed to the foregoing instrument and, under oath, acknowledged to me
that he/she signed the same for the purpose and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, THIS ________ DAY OF ____________________________, 20____
DWIGHT D. SULLIVAN, COUNTY CLERK
GALVESTON COUNTY, TEXAS
By: __________________________________, or
Deputy
_____________________________
Notary Public
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GALVESTON COUNTY, TEXAS COUNTY CLERK (County of Galveston)

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Completed 5 August 2020

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