Free Acrobat - Fill in the blank - Texas


File Size: 63.4 kB
Pages: 4
Date: April 12, 2001
File Format: PDF
State: Texas
Category: Secretary of State
Author: Nina Weston
Word Count: 525 Words, 8,068 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sos.state.tx.us/statdoc/forms/3101.pdf

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OFFICE OF THE SECRETARY OF STATE MEMBERSHIP CAMPING RESORT OPERATOR REGISTRATION APPLICATION ($250 Filing Fee) 1. Operator's Name:

________________________________________________________________________________________ 2. Business Address of Operator:

________________________________________________________________________________________ 3. 4. Business Telephone of Operator (________)__________________________________________ Name of Camping Resort:

________________________________________________________________________________________ 5. Address of Camping Resort (if different from operator's):

_________________________________________________________________________________________ 6. Organizational form of operator's business (i.e., sole proprietorship, partnership, corporation):

________________________________________________________________________________________ ________________________________________________________________________________________ 7. Name and address of each partner or officer:

Name: _________________________________________________________________________________ Address:________________________________________________________________________________ City: ______________________________ State: _________ Zip: _________________ % of Ownership: ______________________________________ ***** Name: _________________________________________________________________________________ Address:________________________________________________________________________________ City: ______________________________ State: _______ Zip: ___________________ % of Ownership: ___________________________ ***** Name: _________________________________________________________________________________ Address:_______________________________________________________________________________ City: ______________________________ State: _______ Zip: ___________________ % of Ownership: ___________________________

Form #3101

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***** Name: __________________________________________________________________________________ Address:________________________________________________________________________________ City: ______________________________ State: _______ Zip: ___________________ % of Ownership: ___________________________ ***** Name: __________________________________________________________________________________ Address:________________________________________________________________________________ City: ______________________________ State: _______ Zip: ___________________ % of Ownership: ___________________________ 8. Type of document or instrument creating operator's ownership of, or other right to use, the membership camping resort: _________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ A CERTIFIED COPY OF EACH OF THE FOLLOWING DOCUMENTS OR INSTRUMENTS MUST BE ATTACHED TO THIS APPLICATION BEFORE IT WILL BE PROCESSED: A. One creating operator's ownership or other right to use; and B. Any lease, license, franchise, reciprocal agreement, or other agreement entitling operator to use the camping resort, or restriction a purchaser's use of the camping resort or it's amenities. 9. Describe completely all blanket encumbrances on the camping resort:

________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 10. Describe the promotional plan to be used in offering membership interest or rights:

________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

11.

List all sales offices in Texas, providing complete name, address, and telephone numbers for each: 2

__________________________________________ __________________________________________ __________________________________________ (________) ________________________________

____________________________________ ____________________________________ ____________________________________ (_______)___________________________

__________________________________________ __________________________________________ __________________________________________ (________) ________________________________

____________________________________ ____________________________________ ____________________________________ (_______)___________________________

__________________________________________ __________________________________________ __________________________________________ (________) ________________________________ ***** 12.

____________________________________ ____________________________________ ____________________________________ (_______)___________________________

List all states and foreign countries in which you have filed a registration or in which you have filed

the membership camping contract: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 13. Describe completely all adverse orders, judgements, or decrees entered by a court or administration agency in connection with any membership camping resort operated by you, or in which you had a financial or fiduciary interest at the time of the order, judgement, or decree: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 14. This application WILL NOT BE PROCESSED until copies of the following documents have been received. Indicate below whether or not they are attached to this application. A. Accurate operator's financial statement. _____ No

______ Yes

B. The instrument to be delivered to a purchaser to evidence the purchaser's membership in the membership camping resort. 3

______ Yes C.

______ No

Each agreement that a purchaser is required to execute. ______ No

______ Yes

D. All agreements between operator and any person owning, controlling, or managing the membership camping resort. ______ Yes ______ No

E. The Membership Camping Resort Disclosure Statement required by Section 222.006(b) of the Texas Membership Camping Resort Act, and all reciprocal disclosure statements required by Section 222.006(c). ______ Yes ______ No

_______________________________________ Operator's Signature ________________________________________ Printed Name
(NOTE: If operator is a corporation or partnership, this application must be signed by an officer, or general partner, as appropriate. This application may also be signed by an individual holding a power of attorney for this purpose from the operator. A copy of the power of attorney must be attached or the application will not be processed.)

State of _____________________ County of ____________________

BEFORE ME, the undersigned, a Notary Public, on this day personally appeared _________________________________________, known to me to be the person whose name is subscribed to the foregoing instrument, and who being duly sworn, state that the foregoing statements are true and correct. Given under my hand and seal of office the _________ day of _______________, _________. _____________________________________ (Signature of Notary Public)

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