Ny Dba Form. Businesses that want to operate under a new name, called a trade name, different from the name it started with, have to file for a new york dba application form or certificate of assumed name. Web city of zip code , county of , state of new york.
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For filing instructions, click here. The completed certificate of assumed name, together with the appropriate filing fee, should be forwarded to: New york department of state, division of corporations, one commerce plaza, 99 washington avenue, albany, ny 12231. The entity was formed or authorized under the following new york law (check one): Certificates of status on such entities may also be obtained here. The certificate must be submitted with a $25 fee. The department of state recommends that all documents be prepared under the guidance of an attorney. The fee for filing a certificate of assumed name is $25 plus any associated county fee (s), as indicated below. Fictitious name, if any, of foreign entity (not assumed name): (signature) state of new york ) county of monroe ) ss.
I further certify that i am successor and interest to this certificate is executed and filed pursuant to section 130 of the general business law. The completed certificate of assumed name, together with the appropriate filing fee, should be forwarded to: (signature) state of new york ) county of monroe ) ss. An llc or corporation can check the new york department of state’s assumed business name database. Certificates of status on such entities may also be obtained here. The entity was formed or authorized under the following new york law (check one): This form was prepared by the new york state department of state. I further certify that i am successor and interest to this certificate is executed and filed pursuant to section 130 of the general business law. A dba name must be unique and meet new york state requirements. The certificate of assumed name is effective on the date of filing of the certificate by the department of state. You may draft your own form or use forms available at legal stationery stores.