Instructions For Completing The Certificate Of Assumed Name Sheet

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Instructions for Completing the Certificate of Assumed Name
The Certificate of Assumed Name must be typed or printed in black ink. All printing and signatures must be of
sufficient clarity and darkness to permit recording and reproduction by the Department of State.
Paragraph 1. Insert the exact name of the entity. The exact name can be found on the filing receipt issued by
the Department of State when the entity was formed or authorized to do business in New York State, or on any
amendment filed. It will also appear in any certified copies of these filings that you may have in your
possession, which were issued by the Department of State. The name should be taken directly from one of these
documents for insertion in the Certificate of Assumed Name form. Do not abbreviate or make other changes to
the name. To determine the exact name of the entity, you may write to the Department of State, Division of
Corporations, 41 State Street, Albany, NY 12231-0001, or call the Division of Corporations at 1-900-835-2677.
The fee for the telephone call is $4.
Paragraph 2. Check the appropriate box to indicate the law of this state under which the corporation was
formed or authorized to transact or conduct business.
Paragraph 3. Insert the assumed name for the business. An assumed name cannot contain words such as
"Corporation," "Incorporated," "Limited," "Limited Liability Company," "Limited Partnership," or their
abbreviations.
Please note that certain words may be used in a Certificate of Assumed Name only with consents or approvals
that would permit the use of the word. Restricted and prohibited words are set forth in subparagraph (3) through
(10) of paragraph (a) of Section 301 of the Business Corporation Law, subparagraph (3) through (9) of
paragraph (a) of Section 301 of the Not-for-Profit Corporation Law, paragraph (3) of subdivision (a) of Section
121-102 of the Revised Limited Partnership Act, and subdivision (d) through (h) of Section 204 of the Limited
Liability Company Law.
Paragraph 4. Insert the location of its principal place of business in New York State. The address must be set
forth in terms of a number and street, city, state, zip code, and county. A post office box is not acceptable. If the
entity does not have a principal place of business in New York State, insert the principal out-of-state address.
Paragraph 5. Indicate the county or counties in which the entity does business or intends to do business in this
state. Please note that New York City consists of five counties.
Paragraph 6. Insert the location of each place where business will be carried on or transacted under the
assumed name. The address must be set forth in terms of a number and street, city, state, zip code, and county.
Please note that the county(ies) reflected in paragraph 6 must match those circled in paragraph 5. If the entity
does not have a specific location where it will conduct business under the assumed name, please indicate so.
Signing Requirements: The Certificate of Assumed Name must be signed on behalf of the entity. The
certificate must be signed by an officer of a corporation, by a general partner of a limited partnership, or by a
member or manager of a limited liability company. In all cases the Certificate of Assumed Name may be signed
by an attorney-in-fact or an authorized person.
Filer: Insert the name and mailing address of the individual filing the Certificate of Assumed Name. The filer is
the person to whom the receipt, evidencing the filing, will be mailed. The address of the filer may be set forth in
terms of a number and street or a post office box.

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