Free template
Certificate of Incumbency Template: Officer Verification Form
Draft your custom agreement in seconds with AI Lawyer
Download template
Certificate of Incumbency Template
[Company Name]
[Company Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
Date: [Date]
1. Company Information
Company Name: [Company Name]
Entity Type: [Corporation / LLC / Other]
State or Country of Formation: [Jurisdiction]
Principal Business Address: [Address]
2. Certifying Officer
I, [Full Name], certify that I am the duly elected, qualified, and acting [Corporate Secretary / Assistant Secretary / Authorized Officer] of [Company Name], and that I am authorized to issue this Certificate of Incumbency.
3. Current Officers and Authorized Representatives
The following persons currently hold the offices or positions set out below and are authorized to act on behalf of the Company to the extent normally associated with their positions or as otherwise stated below:
Name: [Full Name]
Title: [Title]
Authority: [Describe signing or approval authority, if applicable]
Specimen Signature: ________________________
Name: [Full Name]
Title: [Title]
Authority: [Describe signing or approval authority, if applicable]
Specimen Signature: ________________________
Name: [Full Name]
Title: [Title]
Authority: [Describe signing or approval authority, if applicable]
Specimen Signature: ________________________
4. Additional Authority Details
Additional notes regarding officer authority, transaction limits, board approval requirements, or other signing conditions:
[Insert additional authority details or write “None”]
5. Corporate Records Statement
I further certify that the persons listed above currently hold the offices or positions stated in this certificate according to the Company’s records, resolutions, bylaws, operating agreement, or other governing documents, as applicable.
6. Reliance
This Certificate of Incumbency may be relied upon by banks, lenders, counterparties, government agencies, and other persons or entities that require confirmation of the Company’s current officers or authorized representatives.
7. Effective Date
This certificate is effective as of the date written above unless replaced, revoked, or updated by the Company in writing.
8. Signature
Certified by:
Signature: __________________________
Name: [Full Name]
Title: [Corporate Secretary / Assistant Secretary / Authorized Officer]
Date: [Date]
9. Company Seal
Company Seal, if any:
[Seal Here]
10. Notary Acknowledgment
State of [State]
County of [County]
On this [Day] of [Month], [Year], before me, the undersigned notary public, personally appeared [Name of Signer], known to me or satisfactorily proven to be the person whose name is subscribed to this instrument, and acknowledged that they executed the same for the purposes stated herein.
Notary Public Signature: __________________________
Name: [Notary Name]
My Commission Expires: [Date]
No time to fill it up? Generate your custom agreement with AI Lawyer in seconds
Details
Learn more about
Certificate of Incumbency Template: Officer Verification Form
CERTIFICATE OF INCUMBENCY TEMPLATE FAQ
What is a certificate of incumbency?
A certificate of incumbency is a corporate document that confirms the names, titles, and authority of a company’s current officers, directors, or authorized representatives. It is often signed by a corporate secretary or another authorized officer and may be used to show who has authority to act on behalf of the company.
Why do you need a certificate of incumbency?
You need a certificate of incumbency to provide a clear written record of who currently holds key company positions and who is authorized to sign documents, open accounts, approve transactions, or act for the business. It helps banks, investors, vendors, and other third parties verify company authority before relying on corporate actions.
When should you use a certificate of incumbency?
Use a certificate of incumbency when a company needs to confirm its current officers or authorized signers for a bank, lender, investor, government agency, business partner, or transaction file. It is commonly used during financing, account openings, contract signings, corporate transactions, and other situations where proof of authority is required.
How to write a certificate of incumbency?
Start with the company name, formation details, and the date of the certificate. Then identify the person issuing the certificate and list each current officer, director, or authorized representative with their title and, if needed, sample signature or authority details. Finish with a certification statement, date, signature block, and company seal line if applicable.
Can AI Lawyer help if banks, officers, and legal reviewers all need to review?
AI Lawyer can help by organizing the certificate into clear sections so each reviewer can find the relevant details quickly. It can also add reference fields, signer details, and placeholders that make updates easier to track. A consistent structure helps reduce repeated edits and lowers the chance of missing key authority details before the certificate is issued.
Similar templates
