Form Rpl309-A Amended Business Certificate - Chemung County Clerk

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Amended Business Certificate
THE UNDERSIGNED HEREBY CERTIFY that a certificate of doing business under the assumed name of
________________________________________________________________________ for the conduct of business at
________________________________________________________________________, was filed in the office of the Chemung County
Clerk , State of New York, on the _______ day of ___________________ under index number _________________; that the last
amended certificate was filed on the ________ day of ___________________ in the office of the said County Clerk under the index
number __________________.
IT IS HERBY FURTHER CERTIFIED is hereby further certified that this amended certificate is made for the purpose of more accurately
setting forth the facts recited in the original certificate or the last amended certificate and to set forth the following changes to such facts;*
* Set forth the residence address of each new partner, if any
IN WITNESS WHEREOF, the undersigned have this ______ day of ______________, 20____, made and signed this certificate.
___________________________________________
___________________________________________
___________________________________________
___________________________________________
ACKNOWLEDGEMENT RPL309 -a (Do not use outside New York State)
State of New York
ss:
County of Chemung
On this ____ day of _________________, 20____, before me, the undersigned, personally 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), or
person upon behalf of which the individual(s) acted, executed the instrument.
_____________________________________
(
signature and office of individual taking acknowledgement)
$1.00
Chemung County Clerk’s Office Document -

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