Barre, MA · Worcester County
Statement of Discontinuance, Withdrawal from, or Deceased from Business or Partnership
This statement records that a person has died, retired, or withdrawn from a business or partnership, or that the business has been discontinued, for filing with the Barre Town Clerk.
- 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Use this form to report that a listed person is deceased, retired, or has withdrawn from a business or partnership, or that the business has been discontinued. It identifies the business, its location, the related business certificate filing date, and the affected individuals; the form provides for the Barre Town Clerk to record the discontinuance and notes a $25 fee.
Who needs it
A person reporting a business discontinuance or an individual’s death, retirement, or withdrawal from a business or partnership files this statement with the Barre Town Clerk.
Why it needs a notary
The signer swears or affirms the statement’s contents before the notary in the form’s jurat; an executor or administrator signs if reporting a deceased person.
How to get this notarized
- 1
Download the Statement
Get the Statement of Discontinuance, Withdrawal from, or Deceased from Business or Partnership form from the Town of Barre.
- 2
Fill In the Form
Enter the business details, certificate filing date, and information about the person or people affected.
- 3
Book an Online Notary
Arrange a remote notarization appointment with a commissioned online notary.
- 4
Sign on Video
Appear by video and swear or affirm the statement before the notary.
- 5
Submit to the Town
Send the notarized form and $25 fee to the Barre Town Clerk; include a self-addressed, stamped envelope for a return copy or receipt.
Preview the form
The blank PDF straight from Barre. 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 this statement with Barre?
- Complete the statement, sign before a notary, and submit it to the Barre Town Clerk with the $25 fee. The form also requests a self-addressed, stamped envelope for a return copy or receipt.
- Do I need to sign this statement before a notary?
- Yes. The form includes a jurat stating that the signer swears or affirms the contents are truthful and accurate to the best of their knowledge and belief.
- Can I sign this form with a commissioned online notary?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024. Ask the Barre Town Clerk whether it accepts this remotely notarized form; confirm with the city or town clerk if unsure.
- What should I include when I submit the form?
- The form asks for the business name and location, the date its certificate was filed with the Town Clerk, and information about the affected individual or individuals. Include the $25 fee and a self-addressed, stamped envelope.
Other forms in Barre
Statement of Discontinuance, Withdrawal from, or Deceased from Business or Partnership in other Worcester County cities
Each city publishes its own version of this form. Pick the city where you’re filing.