RENEWAL APPLICATION FOR PERMISSION TO USE THE STATE
SEAL OF TEXAS FOR A PRIVATE/COMMERCIAL PURPOSE
BE IT KNOWN that the applicant, in compliance with the obligations and requirements of Vernon's Annotated Business & Commerce Code Section 17.08, hereby makes application of renewal for permission to use the State Seal for a private or commercial purpose. (PLEASE PRINT OR TYPE)
Name of Applicant: ___________________________________________________ Type of Entity: ___ Individual ___ Sole Proprietorship ___ Partnership ___ Corporation ___ Limited Liability Company ___ Other (Specify)
Business/Corporate Address: _____________________________________________ ______________________________________________________________________
If applicant is a corporation, the place of incorporation is: ______________________ If applicant is operating under an assumed name, the assumed name is: ______________________________________________________________________
Telephone: (____) ______________ Describe the intended usage of the State Seal (i.e. belt buckles, rings, plates, etc.).
Attach a precise description, with specifications, of the product to bear the state seal in the form of an architectural drawing, an engineer's draft to scale, a sales brochure, a photograph, or similar representation. ________________________________________________________________________ _________________________________________________________________________
Previous date, if any, the State Seal was first used by the applicant:
a. b. 10.
Outside Texas: ___________________________________ In Texas: ________________________________________
Applicant is to be the sole user of the license. This does not suffice for other uses or products not stipulated within the confines of this renewal application, nor does this license envision the possibility of subsidiary or intercorporate utilization.
Usage by a subsidiary must be separately applied for and appropriately documented.
_______________________________________ Applicant's Name
Signature of Authorized Representative _______________________________________ Printed Name and Title
Return the renewal application form with any attachments along with $35.00 dollars for the application fee and $250.00 for the license filing fee to: SECRETARY OF STATE
Statutory Documents Section
P.O. Box 13550, Capitol Station
Austin, Texas 78711-3550
[make check payable to the Secretary of State of Texas]