Business Certificate Template printable pdf download

Business Certificate

I hereby certify that I am conducting business under the name or designation of

__________________________________________________________

At____________________________ _______________ _____ ____________ in the

Street

city

state

zip code

______________________

City, Town, or Village of

County of Cayuga, State of New York

(Please circle one)

My full name is __________________________________, I reside at

Print or type name

_________________________________ __________________ ______ _______

Street

city

state

zip code

I further certify that I am the successor in interest to_______________________________

Signature_________________________________ this ____ day of ___________ 20____

*if less than 21 years of age state “I am _____________ years of age”

Acknowledgement in New York State (RPL 309-a)

Acknowledgement outside of New York State (RPL 309-b)

State of New York

State of:

County of____________________________

County of ______________________________

On_____________ before me, the undersigned,

On________________ before me, the undersigned,

Personally appeared

personally appeared

personally known to me or proved to me on the basis of

satisfactory evidence to be the individual whose name is

subscribed to the within instrument and acknowledged to

me that he/she executed the same in his/her capacity, and

that by his/her signature on the instrument, the individual,

or the person upon behalf of which the individual acted,

executed the instrument

executed the instrument and that such individual made an

appearance before the undersigned in_______________

_______________________________

Notary Public

Business Certificate Template