Forms

Where available, you can submit a form by entering information in the appropriate text fields and clicking the Submit button or download the form and fill them out when it's convenient for you. Many of the forms still require your signature; please either mail or deliver these to our offices.

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Please note, most Dutchess County forms are available as PDF documents. This format requires that you have Adobe Acrobat Reader installed on your PC. Click on the Adobe Acrobat Reader icon to download a free copy of this software.

Bradford Kendall

Contact

All Forms

All Purpose Acknowledgement (.pdf)

As of 9/1/1999, all acknowledgements taken in New York State must be the “All Purpose” acknowledgement pursuant to Real Property Law Section 309-A. Complete the All Purpose Acknowledgement Form (.pdf) and return to:

Dutchess County Clerk
22 Market Street
Poughkeepsie, NY 12601

Amended Certificate of Doing Business Under Assumed Name (.pdf)

The Amended Certificate of Doing Business Under Assumed Name (.pdf) is used to amend a “Certificate of Doing Business As” previously filed in the Dutchess County Clerk’s Office.

Required:

Business Certificate for Partners (.pdf)

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.

The Business Certificate for Partners Form (.pdf) is to be used if the words brothers, associates, company, distributors, sons, daughters or any name which indicates more than one owner of the business are included in the business title.

If the business is to be incorporated (including the words corporation, incorporated or limited), it must be filed in Albany.

Required:

Certificate of DISCONTINUANCE of Doing Business Under Assumed Name (.pdf)

The Certificate of DISCONTINUANCE of Doing Business Under Assumed Name Form (.pdf) is used to DISCONTINUE an existing DBA (Doing Business Under an Assumed Name.)

Required:

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

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. The Certificate of Doing Business Under Assumed Name ("D/B/A") Form (.pdf) 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:

Mail notarized form or bring to:
Dutchess County Clerk's Office
22 Market Street
Poughkeepsie, NY 12601

Divorce Forms and Instruction Booklets

Divorce forms can be found on the New York State Unified Court System website. The website of the New York State Unified Court System offers free instruction booklets and forms for people starting a divorce. They also provide contact information on how to find a lawyer.

Domestic Partnership Registry

The application fee for the processing of the request for the Domestic Partnership Registration shall be twenty ($20.00) dollars and must be paid before any such certificate may be issued.

Once said application is filed a certificate will be issued for a fee of twenty ($20.00) dollars.

Both parties to the partnership must be present when the affidavit is submitted for filing and provide two (2) items from the “Documents Required to Qualify” list when the application is filed.

A domestic partnership may be registered by two people who meet all of the following conditions:

  1. Either (a) both persons are residents of Dutchess County, or (b) at least one partner is employed by the County of Dutchess on the date of registration;
  2. Both persons are eighteen (18) years of age or older and mentally competent to execute a contract;
  3. Neither of the parties is legally married to a third party;
  4. Neither of the persons is a party to another domestic partnership, or has been a party to another domestic partnership within the six months immediately prior to registration;
  5. The persons are not related to each other by blood in a manner that would bar their marriage in the State of New York;
  6. The persons have a close and committed personal relationship, live together and have been living together on a continuous basis for at least one (1) year;
  7. The persons return a completed domestic partners affidavit provided by the County Clerk, notarized and signed by both parties; and

Domestic Partnership Termination Affidavit

If either party or both parties to a registered domestic partnership determines that the partnership has terminated, one of the partners shall file a termination statement with the County Clerk. The person filing the termination statement shall declare that the domestic partnership is terminated and, if the termination statement has not been signed by both domestic partners, that the other domestic partner has been notified of such termination by registered mail, return receipt requested. The fee for filing a termination is twenty ($20.00) dollars.

A domestic partnership shall terminate whenever one of the parties to the partnership marries a third party or upon the death of one of the parties.

Index Number Application (.pdf)

Complete the Application for Index Number Form (.pdf). A $210.00 check payable to the Dutchess County Clerk. A summons with notice or summons and complaint.

Mechanics Lien (.pdf)

The Mechanics Lien Form (.pdf) should be completed in its entirety including:

For more information, see NYS Lien Law

NYS Firearms License Request for Public Records Exemption (.pdf)

The NYS Firearms License Request for Public Records Exemption Form (.pdf) is used to exercise the "opt out" provision (FOIL exemption) for pistol licensees.

Required:

Mail or return (in person) the completed form to:
Bradford Kendall
Dutchess County Clerk
22 Market Street
Poughkeepsie, NY 12601

Notary Public License Law

The Notary Public License Law (.pdf) provides information on exam topics including law, general terms and information related to the duties and functions of a notary public.

Oath of Office (.pdf)

The Oath of Office Form (.pdf) is for Public Officers and Employees.

Red Hook Transfer Tax Return (.pdf)

Effective August 1, 2007, every person recording a conveyance of real property located in the Town of Red Hook, must at the same time file a Red Hook Transfer Tax Return Form (.pdf) with the County Clerk, and pay the required amount of tax, if any.

Required:

Request for Pistol Permit Transfer from Dutchess County (.pdf)

The Request for Pistol Permit Transfer from Dutchess County Form (.pdf) is to be used to transfer a pistol permit from Dutchess County to another county.

Required:

Return the FAVOR Merchant Application

Use the Return the FAVOR Merchant Application (.pdf) to enroll your business in the RETURN THE FAVOR Discount Program. Be sure to include the official name of your business, its address, hours of operation, and discount specifications. This form must be signed by the business owner/merchant and returned to the Dutchess County Clerk at:

Dutchess County Clerk
22 Market Street
Poughkeepsie NY 12601