HomeMy WebLinkAbout5040 6 Tall Pines Dr YP Business Certificateo _ ;.: ,�
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
BUSINESS CERTIFICATE
Date Filed:
June 9, 2023 Certificate Type: New
Expiration Date:
June 8, 2027 Certificate Fee: $30.00
Certificate Number:
2023-136 Original Filing Date: 6/9/2023
In conformity with the provisions of Chapter One Hundred Ten (110), Section Five (5) of the Massachusetts General
Laws, as amended, the undersigned hereby declare(s) that a business is conducted under the title of:
Business Title: Allyn B. Chafetz, DBA Allyn B. Chafetz LICSW
Business Address: 6 TaII Pines Drive
Yarmouth Port, MA 02675
Business Type: Psychotherapist
Business Owner(s): Owner(s) Address:
Allyn B. Chafetz 6 Tall Pines Drive, Yarmouth Port, MA 02675
SS / Tax ID N: 224-76-2319
Signature(s): all�Y/l /9
In Accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass General
Laws, business certificates shall be in effect for four (4) years from the date of issue and shall be renewed each four (4)
years thereafter. A statement under oath must be filed with the town clerk upon discontinuing, retiring, or
withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished
on request during regular business hours to any person who has purchased goods or services from such business.
Violations are subject to a fine of not more than three hundred ($300.00) and no/100 dollars for each month during
which such violation continues.
On June 9, 2023 the above named person(s) personally appeared before me and made an
oath that the foregoing statement is true,
St nie J. appello
Notary Public
Clerk: Susan M. Regan Commission
Expiration Date: July 21, 2028