Fillable Montgomery County Clerk Mark Turnbull (Revize)

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Montgomery County Clerk Mark Turnbull (Revize)

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P.O. BOX 959 ⦁ Conroe, TX 77305
210 W. Davis, Suite 100 • Conroe, TX 77301
936-539-7885
Montgomery County Clerk
Mark Turnbull
________________________________________________________________________________________________________________________________________________________________________________________________________________
ASSUMED NAME CERTIFICATE
Certificate of Ownership for an Unincorporated Business
PURSUANT TO THE PROVISION OF BUSINESS AND COMMERCE CODE OF THE STATE OF TEXAS, THE
UNDERSIGNED CERTIFIES THE FOLLOWING:
ASSUMED NAME:
BUSINESS ADDRESS:
(must be a physical address/NO P.O. Box)
(City, State & Zip Code)
Do you have or will you have a business office in Montgomery County?
YES
NO
If no, do you have or will you have a business office in another county?
YES
NO
years.
I hereby state this registrant is (mark appropriate box):
AN INDIVIDUAL
A PARTNERSHIP
AN ESTATE
A REAL ESTATE INVESTMENT TRUST
COMPANY OTHER THAN A REAL ESTATE INVESTMENT TRUST. The state, country, or other
jurisdiction under the laws of which this company was organized is
I further state that this registrant is not a limited partnership, limited liability company, limited liability
partnership, or foreign entity.
Is any registrant a military veteran? YES NO If yes, please provide a copy of your military ID.
REGISTRANT NAME(S)
RESIDENCE ADDRESS(ES)
SIGNATURE(S)
State of
County of
Sworn and subscribed to before me on this the
day of
,
________
Notary Public
State of
County of
®
This is a fillable form. After you complete it, print the form and then sign it in front of a notary. This form must be notarized.
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Montgomery County Clerk Mark Turnbull (Revize)

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Completed 17 January 2022

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