Texas > Local County > Fort Bend > Miscellaneous
Withdrawal Notice Of An Assumed Name (DBA) - Texas
| Withdrawal Notice Of An Assumed Name (DBA) Form. This is a Texas form and can be used in Miscellaneous Fort Bend Local County . |
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WITHDRAWAL NOTICE OF AN ASSUMED NAME (D.B.A.) NOTICE: This CERTIFICATE OF WITHDRAWAL properly executed is to be filed immediately with the County Clerk, as provided by Law. DIANNE WILSON COUNTY CLERK, FORT BEND COUNTY 301 JACKSON, RICHMOND, TEXAS 77469-3108 (281) 341-8685 **** NAME OF BUSINESS BEING ABANDONED ___________________________________________________________________________________________________________ (Print or type name of business) BUSINESS ADDRESS: _________________________________________________________________________________________________ CITY: ___________________________________________ STATE: ___________________________ ZIP CODE: _____________ 1. Give Date (if known) original Assumed Name was filed in this office: _______________________________________ 2. Name other filing offices, if any, where you filed the same Assumed Name: ___________________________________________ Each of the undersigned has this day withdrawn from or disposed of his interest in the above mentioned business and is no longer connected with the same, and will not be responsible for debts contracted by said business after the filing of this Withdrawal Notice as prescribed by law. PRINT OR TYPE NAME. NOTE: SIGNATURE(S) MUST BE SIGNED IN FRONT OF A NOTARY. NAME: _________________________________________ SIGNATURE: ____________________________________________ (Print or type Owner or Corporation Name) _____________________________________________________________________ (If Corporation, Print Name and Title) Address: _______________________________________________________________________________________________ NAME: _________________________________________ SIGNATURE: ____________________________________________ (Print or Type Second Owner Name) Address: _______________________________________________________________________________________________ NAME: _________________________________________ SIGNATURE: ____________________________________________ (Print or Type Third Owner Name) Address: _______________________________________________________________________________________________ NAME: _________________________________________ SIGNATURE: ____________________________________________ (Print or Type Fourth Owner Name) Address: _____________________________________________________________________________________________ THE STATE OF TEXAS COUNTY OF FORT BEND } } Before me, the undersigned authority, on this day personally appeared _______________________________________________________________________________________________ ________________________________________________________________________________ those person(s) whose name(s) are listed above known to me to be the person(s) subscribed to the foregoing instrument and acknowledged to me that they are the owners(s) of the above named business and that they signed the same for the purpose and consideration herein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE, THIS ___________ DAY OF __________________________________, __________ (SEAL) ____________________________________________________________ Signature of notary public/deputy county clerk RETURN AT COUNTER TO: _____________________________ _____________________________ _____________________________ REVISED 07/02/2010 American LegalNet, Inc. www.FormsWorkFlow.com
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