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OFFICE OF THE SECRETARY OF STATE
VETERANS ORGANIZATION SOLICITOR'S REGISTRATION STATEMENT
_____New _____Renewal (Please print or type. Use additional sheets of paper if necessary)
1. Name of solicitor:________________________________________________________________
Type of organization: (Corporation, unincorporated entity, partnership, etc.) ____________
Mailing Address: _______________________________________________________________
Telephone Number: (__________) __________________________
2. Give the name, address, and telephone number of each veterans organization on whose
behalf you solicit or will solicit.
3. List all the other states in which you are registered as a solicitor and the status of those
registrations.
4. Number of counties in which you solicit. _________________________
5. Have you, as a solicitor, ever forfeited a bond under this Act? ____________________
If so, how many? _____________________________ What was (were) the date(s) of
forfeiture? _________________________________________________________________
Executed this ______________ day of ___________________________, ___________.
(Signature) (Printed or Typed Name & Title)
Print
Reset
Form #3504
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INFORMATION AND INSTRUCTIONS
Return the registration/renewal form and the filing fee of $500 along with the surety bond to:
SECRETARY OF STATE
Registrations Unit
P. O. Box 13550
Austin, TX 78711-3550
For delivery:
James Earl Rudder Office Building
1019 Brazos, 5
th
Floor
Austin, Texas 78701
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PLEASE NOTE - IF YOU RAISE MORE THAN $5,000 FOR A VETERANS
ORGANIZATION DURING A CALENDAR QUARTER, YOU MUST FILE A REPORT WITH
THE SECRETARY OF STATE AT THE END OF THAT CALENDAR QUARTER. FORMS FOR
SUCH REPORTS CAN BE OBTAINED FROM THE ABOVE ADDRESS.