Texas Total and Partial Assumptions, Mergers, Name Changes, Re domestication, and Mutualization Form Filings Checklist is a compilation of forms and documents that must be filed with the Texas Department of Insurance (TDI) when a company is making certain changes to its legal structure. This includes changes such as total or partial assumptions of liabilities, mergers, name changes, redomestication, and mutualization. The checklist includes: • Certificate of Merger Form • Name Change Form Re domesticationtion Form (if applicable) Mutualizationon Form (if applicable) • Total Assumption of Liability Form • Partial Assumption of Liability Form • Certificate of Domicile Form • Application for Certificate of Authority or Certificate of Existence • Articles of Incorporation (if applicable) • Articles of Organization (if applicable) • Application for Certificate of Authority (if applicable) • Application for Certificate of Existence (if applicable) • Statement of Change Form • Foreign Company Registration Form • Affidavit of Change of Name Form • Form of Consent (if applicable) • Power of Attorney Form (if applicable) • Other documents as required by the TDI The Texas Total and Partial Assumptions, Mergers, Name Changes, Re domestication, and Mutualization Form Filings Checklist must be completed in its entirety and submitted to the TDI prior to the requested changes taking effect. Failing to submit the necessary documents may result in delays or the rejection of the application.