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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.

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 Adobe Acrobat icon to download a free copy of this software.

View All Dutchess County Forms (A - Z)

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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:

  • The filing date and index number of the original or previously amended certificate must be included on the form
  • $25 in cash, money order or bank 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 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 signed in 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 to DISCONTINUE an existing DBA (Doing Business Under an Assumed Name.)

Required:

  • Completed form must be signed in the presence of a Notary Public
  • 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 signed in 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



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.



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 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:

  • 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 $275,000 (on or After April 6th, 2018), 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 to Dutchess County Clerk
  • $5.00 U.S. check or money order payable to County 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 Applicationis Form (.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:

Dutchesss County Clerk
22 Market Street
Poughkeepsie NY 12601



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

The TEENS (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:



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's Discount 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 customer service booth.
  4. Receive your Dutchess County Veteran's Identification Card from the County Clerk's Office.