Orange County, NY · Orange County

No notary required

Certificate of Discontinuance of Business

This form lets a business owner certify that an assumed-name business has discontinued or no longer needs a filing in Orange County.

At a glance

Issued by
City of Orange County · Orange County, Orange County, New York
Notarization
Not required: file this form without a notary.
Official source
orangecountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this certificate when a business conducted under an assumed name has been discontinued, or when changed conditions mean a certificate is no longer required in the county. It asks for the business name and location, prior certificate filing dates and index numbers, and the reason the filing is no longer required.

Who needs it

A person who conducted business under an assumed name and wants to record its discontinuance or that a county filing is no longer required needs this form.

How to submit it

File the certificate with the County Clerk, the office identified in the form. The document does not provide an address, email, portal, or fee.

About notarization

This document is signed without a notary; no notarized or sworn attachment is identified, and the signer signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Certificate of Discontinuance of Business.

  2. 2

    Complete the Certificate

    Enter the business name and location, prior certificate filing details, and the reason a county filing is no longer required.

  3. 3

    Review the Information

    Check the dates, index numbers, and business details provided on the certificate.

  4. 4

    Sign and File

    Sign and date the certificate, then file it with the County Clerk.

Frequently asked questions

What is the Certificate of Discontinuance of Business?
It lets a signer certify that an assumed-name business was discontinued or that changed conditions mean a county certificate filing is no longer required.
Who uses this form?
A person who conducted or transacted business under an assumed name may use it to document the discontinuance or changed conditions described in the certificate.
Do I need a notary for the Certificate of Discontinuance of Business?
No. This document is signed without a notary; no notarized or sworn attachment is identified, and the signer signs and dates it.
How do I submit the Certificate of Discontinuance of Business?
File it with the County Clerk, the office identified in the form. The document does not provide an address, email, portal, or fee.

Need something notarized?

This Certificate of Discontinuance of Business doesn’t need a notary, but if you have another Orange County form that does, a commissioned online notary can help.