USA Certificate of Incumbency
Change Version: Canada

PDF Certificate of Incumbency Form

The secretary of a corporation may use a Certificate of Incumbency to formally state the corporation's signing officers, directors, and shareholders along with their signatures.

More about Certificate of Incumbency legal forms.

  • Proceed through this form, providing as much information as possible.
  • Do not use the '&' (ampersand) and '"' (double-quotation mark) characters.
  • When you are done, click on 'Build Document' at the bottom.

Company Information:

Secretary:

Company Name:

Address:

City:

Country:

Province:

State:

Zip:

Signing Officers:

Do you wish to list the signing officers?
 Yes No

How many officers are there?

First Officer:

Name (e.g. Robert Smith):

Title (e.g. CEO):

Second Officer:

Name:

Title:

Third Officer:

Name:

Title:

Fourth Officer:

Name:

Title:

Fifth Officer:

Name:

Title:

Sixth Officer:

Name:

Title:

Seventh Officer:

Name:

Title:

Eighth Officer:

Name:

Title:

Ninth Officer:

Name:

Title:

Tenth Officer:

Name:

Title:

Directors:

Do you wish to list the directors?
 Yes No

How many directors are there?

First Director:

Second Director:

Third Director:

Fourth Director:

Fifth Director:

Sixth Director:

Seventh Director:

Eighth Director:

Ninth Director:

Tenth Director:

Shareholders:

Do you wish to list the shareholders?
 Yes No

How many shareholders are there?

First Shareholder:

Number and Type of Shares:


Second Shareholder:

Number and Type of Shares:


Third Shareholder:

Number and Type of Shares:


Fourth Shareholder:

Number and Type of Shares:


Fifth Shareholder:

Number and Type of Shares:


Sixth Shareholder:

Number and Type of Shares:


Seventh Shareholder:

Number and Type of Shares:


Eighth Shareholder:

Number and Type of Shares:


Ninth Shareholder:

Number and Type of Shares:


Tenth Shareholder:

Number and Type of Shares:


Minute Book:

Do you wish to certify that the company's minute book is complete and accurate?
 Yes No

Date of Signing:

Day (e.g. 2):

Month (e.g. July):

Year (e.g. 2006):