BUSINESS CERTIFICATE FOR PARTNERS
The undersigned do hereby certify that they are conducting or transacting business as members of a
partnership under the name or designation of:
Business Name: ____________________________________________________________________________
Business Address: FULTON
(Street Address) (City) (State) (Zip Code) (County)
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 residence address of each such person, and the age of any who
may be infants, are as follows:
Name (specify if under 21) Residence
________________________________________ __________________________________________
________________________________________ __________________________________________
________________________________________ __________________________________________
________________________________________ __________________________________________
________________________________________ __________________________________________
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, I have signed this certificate on______________________________
________________________________________ __________________________________________
________________________________________ __________________________________________
________________________________________ __________________________________________
STATE OF NEW YORK
COUNTY OF
On before me, the undersigned personally appeared
Personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose names(s) is
(are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
Capacity(ies), and that by his/her/their signatures(s) on the instrument, the individuals(s), or the person upon behalf of
which the individual(s) acted, executed the instrument.
_______________________________________________
Notary Public
