Business Certificate Worksheet Form printable pdf download

CITY OF SPRINGFIELD

36 COURT STREET

SPRINGFIELD, MA 01103

413-787-6096

BUSINESS CERTIFICATE FILING

Massachusetts General Law Chapter 110, Section 5 requires the filing of business certificates. This

office brings to your attention the following information:

A certificate filed in accordance with the law after January 2, 1986 shall be in force and effective

for four (4) years from the date of issue and shall be renewed each four (4) years thereafter so long as

such business shall be conducted and shall lapse and be void unless renewed.

The filing fee in the City of Springfield is $50.00. Please complete the Business Application

Form prior to coming into the City Clerk’s Office. Any changes to a business certificate is $40.00

Copies of such certificates shall be available at the address at which such business is

conducted and shall be furnished on request during regular business hours, to any person who has

purchased goods or services from such business.

The Massachusetts Department of Industrial Accidents requires each business to file a

Worker’s Compensation Insurance Affidavit, please bring poof of insurance with you or the City will not

be able to process your application.

Violations of this law shall be punished by a fine of not more than three hundred

($300.00) for each month during which such violation continues.

THIS OFFICE ADVISES YOU TO ADHERE TO THE PROVISIONS OF THIS STATUTE IN AS MUCH

AS THESE CERTIFICATES ARE EXAMINED DAILY BY REPRESENTATIVES OF BANKS AND

OTHER FINANCIAL INSTITUTIONS, STATE AND FEDERAL TAX OFFICES, CONSUMER GROUPS

AND AGENCIES, ATTORNEYS, UTILITY COMPANIES, LAW ENFORCEMENT AGENCIES AND

OTHER INTERESTED PARTIES.

THIS OFFICE RECOMMENDS THAT YOU OBTAIN A CERTIFIED COPY OF YOUR BUSINESS

CERTIFICATE AT THE TIME OF ORIGINAL FILING IN ORDER FOR YOU TO BE IN FULL

COMPLIANCE WITH THE LAW.

IF THIS OFFICE HAS RECEIVED YOUR FILING THROUGH THE MAIL, A CERTIFIED COPY MAY

BE OBTAINED FOR $20.00 BY WRITTEN REQUEST WITH THE PROPER IDENTIFYING

INFORMATION AND A SELF-ADDRESSED, STAMPED ENVELOPE.

THE FILING OF A BUSINESS CERTIFICATE DOES NOT IMPLY ZONING ORDINANCE

COMPLIANCE AND IT IS NOT A LICENSE OR PERMIT TO CONDUCT A BUSINESS IN THE CITY

OF SPRINGFIELD.

ALL CERTIFICATES MUST BE FILLED OUT IN BLACK INK ONLY!!

PLEASE PRINT ALL INFORMATION ON THE BUSINESS CERTIFICATE FORM EXCEPT FOR

SIGNATURES.

REVISED – 8-14

Business Certificate Worksheet Form