Business Certificate For Partners Form
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1Business Certificate for Partners
Broome County Clerk’s Office
Broome County Office Building, 3
Floor, 44 Hawley Street, Binghamton, NY 13902
rd
RICHARD R. BLYTHE, County Clerk (607) 778-2451
The undersigned do hereby certify that they are conducting or transacting business as
members of a partnership under the name of designation of:
at
_____________________________________________________________________________________
in the County of Broome, State of New York, and do further certify that the full names of all the
persons conducting or transacting such partnership including the full names of all the partners
with the residence address of each such person, and the age of any who may be infants, are as
follows:
NAME
RESIDENCE
(Specify which are infants and state ages)
___________________________________________
____________________________________________________
___________________________________________
____________________________________________________
___________________________________________
____________________________________________________
___________________________________________
____________________________________________________
___________________________________________
____________________________________________________
WE DO FURTHER CERTIFY that we are the successors in interest to:
the person or persons heretofore using such name or names to carry on or conduct or transact
business.
IN WITNESS WHEREOF, we have this ______ day of _________________, 20____ made and
signed this certificate.
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
STATE OF NEW YORK
}
ss:
COUNTY OF BROOME
On this ________________ day of ______________________, year _____________ before me, the undersigned,
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.
________________________________________________________________
Signature and Office of Individual taking acknowledgement (Notary Public)
Revised 2/2009
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