Belchertown, MA · Hampshire County
Business Discontinuation, Withdrawal, or Deceased Statement
This one-page statement records a business discontinuation, partnership withdrawal, or deceased owner’s departure, and is filed with the Belchertown Town Clerk by the person making the declaration.
- 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Use this form to report that a business has discontinued, a person has withdrawn from a partnership, or an owner has died. The Belchertown Town Clerk’s form cites Massachusetts General Laws, Chapter 110, Section 5, and says a notary public must witness signatures when they are not signed at the Town Clerk’s Office. It also notes that personal property bills may still be due if the business was open during the upcoming fiscal year’s assessment period.
Who needs it
A person reporting a business discontinuation, partnership withdrawal, or deceased owner’s departure should complete and file this statement with the Belchertown Town Clerk.
Why it needs a notary
The form includes an oath block stating the signer appeared before the notary and swore the contents are accurate and true; the named person signs before the notary.
How to get this notarized
- 1
Download the Form
Get the Business Discontinuation, Withdrawal, or Deceased Statement from the Belchertown Town Clerk.
- 2
Fill In the Statement
Enter the business details, select the applicable change, provide the requested information, and leave the signature for the notary appointment.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary, and check with the Town Clerk about accepting remote notarization.
- 4
Sign on Video
Appear by video, sign as directed, and swear that the statement’s contents are accurate and true.
- 5
Submit to the Town Clerk
Send or deliver the completed statement to the Belchertown Town Clerk and follow the office’s filing instructions.
Preview the form
The blank PDF straight from Belchertown. 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 file a business discontinuation statement in Belchertown?
- Complete the statement, sign before a notary if you are not signing at the Town Clerk’s Office, and submit it to the Belchertown Town Clerk.
- Do I need a notary for this form?
- The form says a notary public must witness signatures if they are not signed at the Town Clerk’s Office. Its oath block requires the signer to swear the contents are accurate and true.
- Can I use a commissioned online notary?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024. Ask the Belchertown Town Clerk whether the office will accept a remotely notarized form; confirm with the city or town clerk if unsure.
- What should I report on this statement?
- Use it to report a business discontinuation, withdrawal from a partnership, or an owner’s death. The form asks for business and signer details and the relevant date.
