This is an editable pdf form. Click the box above to make the form fields visible. Westchester County Clerk Timothy C. Idoni BUSINESS CERTIFICATE FOR PARTNERS THE UNDERSIGNED DO HEREBY CERTIFY that they are conducting or transacting business in the County of Westchester pursuant to Section 130 of the New York State General Business Law as members of a partnership under the name or designation and at the address of: Business Name: Business Address: WE FURTHER CERTIFY that the full names of all the persons conducting or transacting business in said partnership and the residence address of each such person, and the age of any under the age of 18, are as follows: RESIDENCE NAME: (specify which are infants and state ages) Name: Address: Name: Address: Name: Address: (Please attach additional sheets if necessary for additional partners.) WE FURTHER CERTIFY that we are successors in interest to ___________________________________________________. (Name of former owner(s) of business, if applicable.) WE FURTHER CERTIFY that we are not infants as defined by law, unless so indicated above. Please designate the type of business: Consultant Services Medical – Home Care Services Educational Services Professional – Technical Services Entertainment-Recreation Real Estate Services Finance-Insurance Services Retail Trade Home Improvement Services Wholesale Trade Other ________________________________________________________ IN WITNESS WHEREOF, We have this _________day of_________________ 20______ made and signed this certificate. Signed: State of New York, County of Westchester ss.: On this _______________ day of _____________20_________, before me personally appeared to me known and known to me to be the individual(s) described herein, and who executed the foregoing certificate, and they thereupon duly acknowledged to me that they executed the same. Rev. 5/08 American LegalNet, Inc. www.FormsWorkflow.com