ASSUMED NAME CERTIFICATE–Class 3

ASSUMED NAME CERTIFICATE?Class 3

THE STATE OF TEXAS COUNTY OF LUBBOCK

KNOW ALL MEN BY THESE PRESENTS:

THAT

, the undersigned, for the purpose of complying with

Chapter 71, Title 5, Business and Commerce Code of the State of Texas, do hereby certify to the following facts:

1.

is the assumed

name under which the business or professional services is or is to be conducted or rendered. The address

of said business will be

.

2. BUSINESS IS TO BE CONDUCTED AS (Check which one):

Sole Proprietorship

Limited Partnership

Sole Practitioner

Joint Venture

General Partnership

Joint Stock Company

Real Estate Investment Trust

Business Corporation

Non-Profit Corporation Professional Corporation Non-Profit Organization Limited Liability Company

3. Owners Names and Addresses: Please Print Name Address

City State/Zip

Name Address

City State/Zip

Name Address

City State/Zip

Name Address

City State/Zip

4. (This section to be completed by corporations)

The state, country, or other jurisdiction under the laws of which it was incorporated is

The address of the corporation's registered office in Texas is

and

the registered agent at such address is

. The county or counties

where business or professional services are being or are to be conducted or rendered under such assumed

name is

.

5. The period, not to exceed 10 years from the date filed in the County Clerk's Office, is

years.

IN TESTIMONY WHEREOF, day of

have hereunto set , 20___.

hand , this the

Sign before a Notary

Signature Print Name

THE STATE OF TEXAS

(Acknowledgment)

COUNTY OF LUBBOCK

Before me, the undersigned authority, on this day personally appeared

known

to me to be the person(s) whose name(s)

subscribed to the foregoing instrument, and acknowledged

to me that he executed the same for the purposes and consideration therein expressed.

Given under my hand and seal of office on this the

day of

, A.D. 20___.

Notary Public.

Lubbock County, Texas. My Commission expires

.

THE STATE OF TEXAS

(Corporate/Partnership Acknowledgment)

COUNTY OF LUBBOCK

Before me, the undersigned authority, on this day personally appeared

,

of

, a

partnership/corporation known to me to be the person whose name(s) subscribed to the foregoing instrument,

and acknowledged to me that he executed the same for the purposes and consideration therein expressed, in the

capacity therein stated and as the act and deed of said partnership/corporation.

Given under my hand and seal of office on this the

day of

, A.D. 20___.

Notary Public.

Lubbock County, Texas. My Commission expires

.

 ................
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