Please rate Form Dos 1625 F L Rev. 03-17
You are not required to use this form. You may draft your own form or use forms available at legal stationery stores.
Who signs: if a corporation, by an officer; if a limited partnership, by a general partner; if a limited liability company, by a member or manager.
Attorney-in-fact: if the certificate is signed by an attorney-in-fact, include the name and title of the person for whom the attorney-in-fact is acting.
SECOND: foreign entities only; if applicable, the fictitious name the entity agreed to use in New York State.
SEVENTH: the date on which the discontinuance of assumed name occurred or the reason for the discontinuance of the use of the assumed name.
| Question | Answer |
|---|---|
| Form Name | Form DOS-1625-f |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 15 |
| Avg. time to fill out | 3 min |
| Edition | Rev. 03/17 |
| Issuing agency | New York State Department of State |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | DOS-1625-f, DOS 1625-f, Form 1625, 1625 form, Certificate of Discontinuance of Assumed Name |
| Official source | Form DOS-1625-f (Rev 03/17), New York State Department of State |
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Please rate Form Dos 1625 F L Rev. 03-17