Certificate Of Discontinuance Of Assumed Name
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certificate Of Discontinuance Of Assumed Name Form. This is a New York form and can be use in Corporations And Business Entities Secretary Of State.
Loading PDF...
Tags: Certificate Of Discontinuance Of Assumed Name, DOS-1625, New York Secretary Of State, Corporations And Business Entities
New York State
Department of State
Division of Corporations, State Records & UCC
One Commerce Plaza, 99 Washington Avenue
Albany, NY 12231
www.dos.state.ny.us
CERTIFICATE OF DISCONTINUANCE
OF
ASSUMED NAME
OF
(Insert Name of Entity)
Under Section 130 of the General Business Law
FIRST: The name of the entity is:
SECOND: Foreign entities only.
.
If applicable, the fictitious name the entity agreed to use in
New York State is:
THIRD:
If the name of the entity is different on the last Certificate of Assumed Name or
Certificate of Amendment of Certificate of Assumed Name, the previous name of the entity is:
FOURTH: The present assumed name is:
FIFTH: The date the original Certificate of Assumed Name was filed is:
SIXTH: The date, if applicable, the last Certificate of Amendment of Certificate of Assumed
Name was filed is:
.
SEVENTH: The date on which the discontinuance of assumed name occurred or the reason for
the discontinuance of the use of the assumed name:
.
DOS-1625 (Rev. 4/08)
-1American LegalNet, Inc.
www.FormsWorkflow.com
INSTRUCTIONS FOR SIGNING: If a corporation, by an officer; if a limited partnership, by a
general partner; if a limited liability company, by a member or manager; or by an authorized person or
attorney-in- fact for such corporation, limited partnership or limited liability company. If the certificate is
signed by an attorney-in-fact, include the name and title of the person for whom the attorney-in-fact is
acting. (Example, John Smith, attorney-in-fact for Robert Johnson, president.)
Name of Signer
Signature
Title of Signer
CERTIFICATE OF DISCONTINUANCE
OF
ASSUMED NAME
OF
(Insert Name of Entity)
Under Section 130 of the General Business Law
Filer’s Name:
Address:
City, State and Zip Code:
Note: This form was prepared by the New York State Department of State. You are not required to use this form.
You may draft your own form or use forms available at legal stationery stores. The Department of State recommends
that all documents be prepared under the guidance of an attorney. The certificate must be submitted with a $25 fee.
For Office Use Only
-2American LegalNet, Inc.
www.FormsWorkflow.com
