Forms and Guidebooks (2024)

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:

• The filing date and index number of the original or previously amended certificate must be included on the form
• $25 in cash, money order orbank check made payable to: Dutchess County Clerk for filing; add an additional $5 per certified copy
• Mail notarized form or bring to:
  Dutchess County Clerk's Office
  22 Market Street
  Poughkeepsie, NY 12601

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:

• Prior to filing, check to see if business name is already on filein County's RecordsRoom
• Name and address of the business (a PO box is not sufficient)
• Full name, address and signature of the individual conducting business
• Include the age of any signer who is under 18 years old
• Completed form must be signedin the presence of a Notary Public or Commissioner of Deeds
• Bring photo ID if signature is to be witnessed (at no charge) at County Clerk's Office
• $25 in cash, money order or certified check made payable to Dutchess County Clerk for filing; add an additional $5 per certified copy
  Mail notarized form or bring to:
  Dutchess County Clerk's Office
  22 Market Street
  Poughkeepsie, NY 12601

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

The Certificate of DISCONTINUANCE of Doing Business Under Assumed Name Form (.pdf) is used toDISCONTINUEan existingDBA (Doing Business Under an Assumed Name.)

Required:

• Completed form must be signedin the presence of a NotaryPublic
• For multiple signatures, all signers must appear before the Notary Public
• Bring photo ID if signature is to be witnessed (at no charge) at County Clerk's Office
• The cost of filing is free
• Certified copies are $5 each payable in cash, bank check or money order made payable to Dutchess County Clerk
• Mail notarized form or bring to:
  Dutchess County Clerk's Office
  22 Market Street
  Poughkeepsie, NY 12601

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:

• Prior to filing, check to see if business name is already on file in County's Records Room
• Name and address of the business (a PO box is not sufficient)
• Full name, address and signature of the individual conducting business
• Include the age of any signer who is under 18 years old
• Completed form must be signedin the presence of a NotaryPublic or Commissioner of Deeds
• Bring photo ID if signature is to be witnessed (at no charge) at County Clerk's Office
• $35in cash, money order or certified check made payable to Dutchess County Clerk for filing; includes $25 filing fee & 2 certified copies,additional $5 per certified copy

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

Domestic Partnership Registry (.pdf)

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

Domestic Partnership Termination Affidavit (.pdf)

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:

• Names and addresses of Creditor and Debtor
• Property description with Tax District (town/city of)
• Money amount being claimed
• Completed form must be signed in the presence of a Notary Public
• Bring photo ID if signature is to be notarized (at no charge) at County Clerk's Office
• The cost of filing is $15.
• Mail notarized form or bring to:
  Dutchess County Clerk's Office
  22 Market Street
  Poughkeepsie, NY 12601

For more information, see NYS Lien Law

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

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

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) isfor 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:

• Complete the Red Hook Transfer Tax Return, consulting the Town of Red Hook Local Law No. 1 of 2007, located on the Town of Red Hook website.
• For further guidance, visit the webpage of the Office of the Town Clerk for the Town of Red Hook; and access CPA Local Law No. 1 of 2007 in pdf format.
• Enter $395,000 (on or After April 7th, 2023), as the "median residential sales price for Dutchess County", on Schedule B, Part I, line 2.
• Attach required document(s) if “box (m)” on Schedule B, Part II is checked.
• Include check for filing fee in the amount of $5, plus the amount of Red Hook Transfer Tax, if any, made payable to “Dutchess County Clerk”.
• Mail or bring completed Return, signed by both Grantor and Grantee, together with check to:
  Dutchess County Clerk’s Office
  22 Market Street
  Poughkeepsie, NY 12601

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:

• $5.00 U.S. check or money order payable toDutchess County Clerk
• $5.00 U.S. check or money order payable toCounty where you are moving
• Return to:
  Dutchess County Clerk's Office
  22 Market Street
  Poughkeepsie, NY 12601
  Attention: Pistol Permits

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

Satisfaction of Judgment

Satisfaction-of-Judgment-Fillable.pdf

TEENS (Teens Electronic Event Notification Service) (.pdf) (NYS-DMV)

TheTEENS(Teens Electronic Event Notification Service)provides notification to parents/guardians when their teenage driver has a DMV related conviction, suspension, revocation, or accident. Visit the following links on the New York State DMV website for more information:

• Frequently Asked Questions(NYS-DMV)
• How to Enroll(NYS-DMV)
• TEEN Electronic Event Notification Service Enrollment and Consent Form(NYS-DMV)

U.S. Passport (DS-11) Application (.pdf)

You should complete the Application for a U.S. Passport (DS-11) (.pdf) if you're applying for the first time, you're applying for your child who is under age 16, or you don't meet our requirements to renew your passport.

Veterans Discount Program (Return the FAVOR) Application

1. Bring your Military Separation Papers i.e. DD-214, WDO-AGO 53-55, etc., indicating your Full-Time Active Duty service to the Division of Veterans Services Office, located at 85 Civic Center Plaza, Suite 105 in Poughkeepsie between 9am and 4pm.
2. Complete the Veteran'sDiscount Program (Return the FAVOR) Application Form (.pdf).
3. Proceed to the County Clerk's Office located on the 1st Floor of 22 Market Street, Poughkeepsie, NY. Press the "J" category at the customerservice booth.
4. Receive your Dutchess County Veteran's Identification Card from the County Clerk's Office.