INSTRUCTIONS: D/B/A Form

INSTRUCTIONS

FOR

Certificate of Doing Business Under Assumed Name ("D/B/A")

Every person who conducts business in Dutchess County under an assumed name (such as John's Auto Parts) is required to file a “Certificate of Doing Business Under Assumed Name” form with the County Clerk's Office.  This form is used for a DBA by individuals.  If the business is to be incorporated (including the words corporation, incorporated or limited), it must be filed in Albany.

Required:

v  Prior to filing, check to see if business name is already on file in County's Records Room

v  Name and address of the business (a PO Box is not sufficient)

v  Full name, address and signature of the individual conducting business

v  Include the age of any signer who is under 18 years old

v  Completed form must be signed in the presence of a Notary Public or Commissioner of Deeds

v  Bring photo ID if signature is to be witnessed (at no charge) at County Clerk's Office

v  $25 in cash, money order or certified check made payable to Dutchess County Clerk for filing; add an additional $5 per certified copy

v  Mail notarized form or bring to:

Dutchess County Clerk's Office; 22 Market St., Poughkeepsie, NY 12601

For assistance call (845) 486-2120

INTERNET LINK:

http://www.co.dutchess.ny.us/CountyGov/Departments/CountyClerk/CCforms.htm#14685