Business Certificate (Assumed Name Certificate Pursuant To General Business Law § 130) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Business Certificate (Assumed Name Certificate Pursuant To General Business Law § 130) Form. This is a New York form and can be use in Erie Local County.
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Business Certificate
(Assumed Name Certificate pursuant to General Business Law §130)
I hereby certify that I am conducting or transacting business under the name or
designation of
at
,
(Address)
(City/Town)
, County of Erie, State
of New York ____________.
(Zip code)
My full name is
(Print or Type Name)
I am ___________ years of age.
(If under 18 years of age)
and I reside at
I further certify that I am the successor in interest to
the person or persons heretofore using such name or names to carry on or conduct or transact business.
In Witness Whereof, I have signed this certificate on
Print name:
ACKNOWLEDGEMENT IN NEW YORK STATE (RPL 309-A)
State of New York
County of Erie
} SS.:
day of
,
before me, the undersigned, personally
On the
appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)
whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,
the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgement)
Affix seal/stamp
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