OFFICE OF THE SECRETARY OF STATE
VETERANS ORGANIZATION SOLICITOR'S REGISTRATION STATEMENT
_____New 1. _____Renewal (Please print or type. Use additional sheets of paper if necessary)
Name of solicitor:________________________________________________________________ Type of organization: (Corporation, unincorporated entity, partnership, etc.) ____________ _______________________________________________________________________________ Mailing Address: _______________________________________________________________ Telephone Number: (__________) __________________________
2.
Give the name, address, and telephone number of each veterans organization on whose behalf you solicit or will solicit. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
3.
List all the other states in which you are registered as a solicitor and the status of those registrations. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
4. 5.
Number of counties in which you solicit.
_________________________
Have you, as a solicitor, ever forfeited a bond under this Act? ____________________ If so, how many? _____________________________ What was (were) the date(s) of forfeiture? _________________________________________________________________
Executed this ______________ day of ___________________________, ___________.
___________________________________ ______________________________________ (Signature) (Printed or Typed Name & Title)
Print
Reset
Form #3504
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INFORMATION AND INSTRUCTIONS
Return the registration/renewal form and the filing fee of $500 along with the surety bond to:
SECRETARY OF STATE
Statutory Documents Section
P. O. Box 13550
Austin, TX 78711-3550
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PLEASE NOTE - IF YOU RAISE MORE THAN $5,000 FOR A VETERANS ORGANIZATION DURING A CALENDAR QUARTER, YOU MUST FILE A REPORT WITH THE SECRETARY OF STATE AT THE END OF THAT CALENDAR QUARTER. FORMS FOR SUCH REPORTS CAN BE OBTAINED FROM THE ABOVE ADDRESS.