Form 26-5

This certificate is to be used by a corporation, limited partnership, limited liability partnership, limited liability company, or foreign filing entity to register an assumed name in the county records and secre­tary of state’s records. See the Assumed Business or Professional Name Act, Tex. Bus. & Com. Code ch. 71, particularly Tex. Bus. & Com. Code §§ 71.101–.104, for requirements of execution and filing.

Assumed [Business/Professional] Name Certificate for Incorporated Business or Profession

Date:

Registrant:

Assumed Name:

[County/Counties]:

Period of Use:

1.Registrant [is conducting/will conduct] business under the Assumed Name.

1.Registrant [is rendering/will render] professional service under the Assumed Name.

2.The name of Registrant as stated in its [certificate of formation/application for registration/[specify comparable document]] is [name of registrant].

3.The state, country, or other jurisdiction under the laws of which Registrant was [incorporated/organized/associated] is [jurisdiction]. The address of Registrant’s registered or similar office in that state, country, or jurisdiction is [address].

4.The period during which the Assumed Name will be used is the Period of Use.

5.Registrant is a [for-profit corporation/nonprofit corporation/professional corporation/professional association/limited partnership/limited liability partnership/limited liability company/foreign filing entity/[specify type of organization]].

6.The address of Registrant’s principal office is [address].

7.Business [is being/will be] conducted under the Assumed Name in the [county/counties].

7.Professional services [are being/will be] rendered under the Assumed Name in the [county/counties].

8.The attorney-in-fact executing this certificate for Registrant has been duly autho­rized in writing by [his/her] principal to execute and acknowledge this certificate.

   
[Name]