Gainesville, NY · Wyoming County

No notary required

Certificate of Conducting Business Under an Assumed Name

This certificate is for an individual conducting business under an assumed name to provide business and residence details for filing.

What this form is

This certificate records an individual's intent to conduct business under an assumed name and identifies the person conducting the business. It asks for the business name and location, the individual's name and residence, and whether the individual is a successor in interest to someone who previously used the name. The signer dates and signs the certificate for filing.

Who needs it

An individual conducting business under an assumed name uses this certificate to state the business name, location, and identifying details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the certificate.

How to submit this form

  1. 1

    Download the Certificate

    Download the assumed-name business certificate PDF.

  2. 2

    Complete the Certificate

    Enter the business name and location, the individual's name and residence, and any successor-in-interest information requested.

  3. 3

    Sign and Date

    Sign and date the certificate.

  4. 4

    Submit to the City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the assumed-name business certificate for?
It records an individual's intent to conduct business under an assumed name and provides the business location, name, and residence details.
Who completes this certificate?
An individual conducting business under an assumed name completes the certificate and provides their identifying and residence information.
Do I need a notary for the assumed-name business certificate?
No. This document is signed and dated without a notary; the signer just signs and dates the certificate.
How do I submit the assumed-name business certificate?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Certificate of Conducting Business Under an Assumed Name doesn’t need a notary — but if you have another Gainesville form that does, a commissioned online notary can help.