Kewanee, IL · Henry County

Assumed Name Certificate Business Application

This application records an assumed business name and identifies the business purpose, county locations, and owners for filing with the Henry County Clerk.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Use this form to certify that the listed owners intend to conduct business under the stated name at the locations provided in Henry County. It asks for the business purpose, addresses, contact details, and owners’ full legal names, and includes an acknowledgment for the owners’ signatures. The completed application is addressed to the Henry County Clerk; check with the Clerk about filing requirements and any applicable fees.

Who needs it

Owners conducting or transacting business in Henry County under the name shown on the application should complete it for filing with the Henry County Clerk.

Why it needs a notary

The form contains an acknowledgment before a notary public; each owner intending to conduct the business signs before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Assumed Name Certificate Business Application from the Henry County Clerk.

  2. 2

    Complete the Business Details

    Provide the business name and purpose, Henry County locations, contact information, and each owner’s legal name and residence address.

  3. 3

    Book an Online Notary

    Arrange a remote session with a commissioned online notary for the form’s acknowledgment.

  4. 4

    Sign on Video

    Each owner intending to conduct the business signs during the online notary session as directed.

  5. 5

    Submit to the County Clerk

    File the completed application with the Henry County Clerk and follow the Clerk’s instructions.

Preview the form

The blank PDF straight from Kewanee. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the assumed name application?
Enter the business name, purpose, Henry County locations, and each owner’s legal name and residence address. Each owner intending to conduct the business signs before a notary, then file the completed form with the Henry County Clerk.
Do I need to sign this form in front of a notary?
Yes. The form includes an acknowledgment before a notary public for the person or persons intending to conduct the business. Wait to sign until the notary directs you.
Can I use an online notary for this form?
Illinois authorizes electronic and remote notarization by its notaries under the Illinois Notary Public Act (5 ILCS 312) and recognizes notarial acts performed outside Illinois by an officer authorized where the act occurs (765 ILCS 30). Check with the Henry County Clerk about accepting your notarized form.
Where do I file the completed application?
The form identifies the Henry County Clerk in Cambridge as the filing office. For filing details or if you are unsure about local requirements, confirm with the city or village if unsure.

Ready to notarize your Assumed Name Certificate Business Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.