Rockland County Clerk
Donna G. Silberman
1 South Main Street
New City, New York 10956
BUSINESS CERTIFICATE FOR PARTNERS
THE UNDERSIGNED DO HEREBY CERTIFY that they are conducting or transacting business in the County of
Rockland pursuant to Section 130 of the New York State General Business Law as members of a partnership under the
name or designation and at the address of:
partnership and the residence address of each such person, and the age of any under the age of 18, are as follows:
NAME
: (specify which are infants and state ages)
RESIDENCE
Name: Address:
Name: Address:
Name: Address:
(Please attach additional sheets if necessary for additional partners.)
WE FURTHER CERTIFY that we are successors in interest to .
(Name of former owner(s) of business, if applicable.)
WE FURTHER CERTIFY
that we are not infants as defined by law, unless so indicated above.
IN WITNESS WHEREOF
,
We have this day of 20
made
and signed this
certificate.
Signed:
State of New York, County of Rockland ss.:
On this day of 20 , before me 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 signature(s) on the instrument, the individual(s), or
the person upon behalf of which the individual(s) acted, executed the instrument.
State of New York, County of Rockland ss.:
Notary
On this day of 20 , before me personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose
name
s(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 signature(s) on the instrument, the individual(s), or
the person upon behalf of which the individual(s) acted, executed the instrument.
-mail Address:
Notary
