Business Certificate - County Of Chemung, Ny
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1Business Certificate
I HEREBY CERTIFY that I am conducting or transacting business under the name or designation of
_____________________________________________________________________________ at
________________________________________________, City/Town/Village of _______________________, County of Chemung,
and State of New York. My full name is* _____________________________________________ 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 this ______ day of ______________, 20___, made and signed this certificate.
___________________________________________
*Print or type name. If under 21 years of age, state “I am ______ years of age”.
ACKNOWLEDGEMENT IN NEW YORK STATE (RPL 309-a)
ACKNOWLEDGEMENT OUTSIDE NEW YORK STATE (RPL 309-b)
State of New York
State of New York
ss:
ss:
County of Chemung
County of Chemung
On _______________________ before me, the undersigned, personally
On _______________________ before me, the undersigned,
appeared
personally appeared
Personally known to me or proved to me on the basis of satisfactory
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
evidence to be the individual(s) whose name(s) is (are) subscribed to
within instrument and acknowledged to me that he/she/they executed the
the within instrument and acknowledged to me that he/she/they
same in his/her/their capacity(ies), and that by his/her/their signatures(s)
executed the same in his/her/their capacity(ies), and that by
on the instrument, the individual(s), or the person upon behalf of which the
his/her/their signatures(s) on the instrument, the individual(s), or the
individual(s) acted, executed the instrument.
person upon behalf of which the individual(s) acted, executed the
instrument, and that such individual made such appearance before the
undersigned in
(insert city or political subdivision and state or county or other place
_________________________________________
acknowledgement taken)
(signature and office of individual taking acknowledgement)
___________________________________________
(signature and office of individual taking acknowledgement)
$1.00
Chemung County Clerk’s Office Document -
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Parent category: Business