Westfield, MA · Hampden County
Statement of Changes to a Filed Business Certificate
This statement reports changes to or discontinuation of a filed business certificate and is completed by the business owner or an executor or administrator filing a change with Westfield.
- 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Use this form to report that a business has discontinued or withdrawn, that its listed business or residence location has changed, or that an executor or administrator is acting for a deceased certificate holder. The form identifies the business, its location, the original certificate filing date, and the person who filed it. Westfield’s form cites Massachusetts General Laws Chapter 110, Section 5, lists a $1 filing fee, and requires the signer to swear the statement is true before a notary.
Who needs it
A business owner reporting a listed change or discontinuation, or an executor or administrator for a deceased certificate holder, may need to file this statement.
How to get this notarized
- 1
Download the Form
Get Westfield’s Statement of Changes to a Filed Business Certificate from the city’s document page.
- 2
Fill In the Statement
Enter the business and filing details, select the applicable change, and complete the relevant fields.
- 3
Book an Online Notary
Arrange a remote appointment with a commissioned online notary and have the completed form ready.
- 4
Sign on Video
Appear by video and sign when instructed; make the oath before the notary.
- 5
Submit to the City
Submit the notarized statement and the listed filing fee to the Westfield city clerk.
Preview the form
The blank PDF straight from Westfield. Look it over, then upload your filled copy to start the notary session.
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 submit a statement of changes in Westfield?
- Complete the form, take the oath and sign before a notary, then submit it with the listed $1 filing fee to the city clerk. Confirm submission details with the city or town clerk if unsure.
- Do I need to sign this form in front of a notary?
- Yes. The form says the named person must appear before a notary and make oath that the statement is true. Sign when directed by the notary.
- Can I use online notarization for this form?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024, under G.L. c. 222, §§27–29. A commissioned online notary can notarize your signature remotely.
- Who can file this statement?
- The form provides options for a person reporting a business change or discontinuation and for an executor or administrator acting for the estate of a deceased person.