Form No 4243 PDF Details

What is Form 4243? This form, also known as the "Veteran's Application for Individual Unemployability Benefits," is used to apply for benefits from the Veterans Affairs (VA) Department. If you are a veteran who is unable to work due to a service-connected disability, you may be able to receive monthly payments and other benefits through this program. The VA will review your application and let you know if you qualify for benefits. Form 4243 can be downloaded from the VA website or requested by mail. The form must be filled out completely and accurately in order to receive consideration for benefits. You will need to provide information about your military service, current medical condition, and income/assets. Be sure to submit any supporting documentation with your form. If you have any questions about Form 4243 or the VA benefits process, please contact the VA directly.

QuestionAnswer
Form NameForm No 4243
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesFIGUEROA, TEAXSCOUNTY, comparable, UNDERSIGNED

Form Preview Example

OFFICE OF CYNTHIA FIGUEROA CALHOUN

COUNTY CLERK, DALLAS COUNTY, TEXAS

ASSUMED NAME CERTIFICATE FOR AN INCORPORATED BUSINESS OR PROFESSION

NOTICE: “CERTIFICATES” ARE VALID NOT TO EXCEED 10 YEARS FROM THE DATE FILED IN THE COUNTY CLERK’S OFFICE. CHAPTER 36, SECT. 1, TITLE 4 BUSINESS AND COMMERCE CODE

THIS CERTIFICATE PROPERLY EXECUTED IS TO BE FILED IMMEDIATELY WITH THE COUNTYCLERK

NAME UNDER WHICH BUSINESS OR PROFESSIONAL SERVICES IS OR WILL BE CONDUCTED

____________________________________________________________________________________________________________________________

(print or type)

Address: __________________________________________________________________________________

City: ________________________________________ State: ___________ Zip Code: ____________________

1.The name of the incorporated business or profession as stated in its Articles of Incorporation or comparable

document is: ________________________________________________________________________________________

2. The state, country, or other jurisdiction under the laws of which it was incorporated is: ___________________________

_____________________________, and the address of its registered or similar office in that jurisdiction is:

____________________________________________________________________________________________________________________________

3.The period, not to exceed ten years, during which this assumed name will be used is: ____________________________

4.The corporation is a (circle one) business operation, non-profit corporation, professional corporation, professional association or other type of corporation (specify) ____________________________________________________________

5.If the corporation is required to maintain a registered office in Texas, the address of the registered office is: __________

____________________________________________________________________________________________________________________________

and the name of its registered agent at such address is ____________________________________________. The address

of the principal office (if not the same as eh registered office) is: _______________________________________________

___________________________________________________________________________________

6. If the corporation is not required to or does not maintain a registered office in Texas, the office address in Texas is: ____

___________________________________________and if the corporation is not incorporated, organized or associated

under the laws of Texas, the address of its place of business in Texas is: _________________________________________,

and the office address elsewhere is: ______________________________________________________________________

7.The county or counties where business or professional services are being or are to be conducted or rendered under such assumed name are (if applicable, use the designation “all” or “all except _______________________________________”).

8.If this instrument is executed by the attorney-in-fact, the attorney-in-fact herby states that he has been duly authorized, in writing, by his principal to execute and acknowledge this instrument.

THE STATE OF TEAXS,COUNTY OF DALLAS

BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared_______________________________________________

_______________________________________

Signature Corp. Officer, representative or attorney-in-fact of the corporation

Known to me to be the person ___ whose name ____ is/are the subscribed to the foregoing instrument and, under oath,

acknowledged to me that ___________ he _________ signed the same for the purpose and consideration therein expressed.

GIVEN UNDER MY HAND AND SEAL OF OFFICE, on __________________________________,20 _______

CYNTHIA FIGUEROA CALHOUN, COUNTY CLERK DALLAS COUNTY, TEXAS

By ________________________________________

Deputy County Clerk

____________________________________________

Notary Public in and for Dallas County

Form No. 4243(Rev. 1-06)