Mary Louise Nicholson County Clerk ASSUMED NAME CERTIFICATE FOR AN UNINCORPORATED BUSINESS OR PROFESSION Pursuant to Title 5, 24771.151(a) of the Texas Business and Commerce Code, Certificates of Ownership are valid for a period not to exceed 10 years This Certificate properly executed is to be filed immediately with the County Clerk (PRINT OR TYPE) 1. Name under which Business or Professional Service will be conducted 2. City State Zip Business Address 3. The period, not to exceed (10) years, during which the Assumed Name will be used is years. 4. The Business or Professional Service under this Assumed Name will be conducted as (Check one): Proprietorship .) CERTIFICATE OF OWNERSHIP I/We, the undersigned, first being duly sworn, upon oath, declare I/We am/are the owner(s) of the business above named, that the information given for the business is true and correct, and I/We am/are the only person(s) having ownership in said business. (Print) Address City State Zip Signature (Print) Address City State Zip Signature Use the back of application for additional owners if necessary STATE OF TEXAS COUNT OF TARRANT BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared Known to me to be the person(s) whose name(s) is/are subscribed to the foregoing instrument and under oath, acknowledged to me that they are the owner(s) of the above-named business and that they signed the same for the purpose and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE ON , Notary Public in and for Tarrant County (SEAL) CC-9 GPC-1035 Rev. 12/18 MARY LOUISE NICHOLSON, COUNTY CLERK By , Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com