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					                                             ASSUMED NAME
                                CERTIFICATE FOR UNINCORPORATED BUSINESS

 NOTICE: “CERTIFICATE OF OWNERSHIP” ARE VALID FOR A PERIOD NOT TO EXCEED 10 YEARS FROM THE DATE
          FILED IN THE COUNTY CLERK’S OFFICE. (Chapter 36, Sect. 1, Title 4-Business and Commerce Code)
                    (This certificate properly executed is to be filed immediately with the County Clerk)


Name in which BUSINESS is or will be conducted:
_______________________________________________________________________________________________________________________

Business Address:___________________________________________________________________________________

City:_____________________________________ State:________________________ Zip Code:_________________

Period during which ASSUMED NAME will be used (not to exceed 10 yrs):____________________

BUSINESS IS TO BE CONDUCTED AS (Check which one):
_______ Proprietorship      ________ General Partnership         _______ Limited Partnership
_______ Other (name type)________________________

                                           CERTIFICATE OF OWNERSHIP
   I/We, the undersigned, are the owner(s) of the above business and my/our name(s) and the address(es) are true and
                  correct. There is/are no ownership(s) in said business other than those listed below.

Name:_________________________________________ Signature:___________________________________________

Address:________________________________________________________________ Zip Code:__________________
               (Residence)

Name:_________________________________________ Signature:___________________________________________

Address:________________________________________________________________ Zip Code:__________________
               (Residence)

Name:_________________________________________ Signature:___________________________________________

Address:________________________________________________________________ Zip Code:__________________
               (Residence)

                                                   (Acknowledgment)
STATE OF TEXAS       )(
COUNTY OF ___________)(
Before me, the undersigned authority, on this day personally appeared _________________________________
_________________________________________________________________________________________,
known to me to be the person(s) whose name is subscribed to the foregoing instrument and acknowledged to me
that he/she executed the same for the purposes and consideration therein expressed.

Given under my hand and seal of office this _______ day of ________________________, 20__________.


                                                                       ___________________________________
                                                                                 Notary Public, State of Texas