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Affidavit Of Facts Pertaining To Assumed Name Certificate Withdrawal - Texas
| Affidavit Of Facts Pertaining To Assumed Name Certificate Withdrawal Form. This is a Texas form and can be used in Miscellaneous Fort Bend Local County . |
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AFFIDAVIT OF FACTS PERTAINING TO ASSUMED NAME CERTIFICATE WITHDRAWAL This form is used in withdrawing individual names from business (es) not for withdrawing entire business (es) DIANNE WILSON COUNTY CLERK, FORT BEND COUNTY 301 JACKSON, RICHMOND, TEXAS 77469-3108 281-341-8685 STATE OF TEXAS COUNTY OF FORT BEND THIS IS TO CERTIFY THAT I, ___________________________________________________________________ Printed name OF _________________________ COUNTY, STATE OF _______________________, HAVE BEEN CONNECTED County of residence State of residence WITH THE BUSINESS OF _______________________________________________________________________ AS EVIDENCE BY THE ATTACHED CERTIFICATE AS FILED IN THE OFFICE OF COUNTY CLERK, FORT BEND COUNTY, AND THAT I AM NO LONGER ASSOCIATED WITH SAID BUSINESS AS OF THIS ___________ DAY OF ______________________________, _________. ___________________________________________________ Signature of person withdrawing/ printed name *************************************************************************** STATE OF TEXAS } COUNTY OF FORT BEND } Before me, the undersigned authority, on this day personally appeared __________________________________________ __________________________________ known (or proven) to me to be the person whose name is subscribed in the above statement and acknowledged to me that they executed the same for the purpose and consideration therein expressed. SIGNED THIS ___________ DAY OF ______________________________, ___________. ________________________________________________ Signature ________________________________________________ Notary public/deputy county clerk printed name REVISED 07/02/2010 American LegalNet, Inc. www.FormsWorkFlow.com
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