Iowa City, IA · Johnson County
Statement Terminating Domestic Partnership
This statement lets a person notify Iowa City that a domestic partnership has ended, document notice mailed to the former partner, and provide the required certified-mail return receipt.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this statement to tell Iowa City that you and your former domestic partner are no longer partners, and to record when and where you sent the former partner a copy by certified mail. The form asks you to provide the City with the original or a copy of the returned receipt. It also explains that termination takes effect upon a listed event, including the passage of 90 days after the required filing and notice.
Who needs it
A person ending a domestic partnership registered with Iowa City can use this statement to notify the City and document mailing notice to their former partner.
Why it needs a notary
The form carries a subscribed-and-sworn jurat; the person making the statement signs before the notary and swears that its statements are true and correct.
How to get this notarized
- 1
Download the Statement
Get the Statement Terminating Domestic Partnership from Iowa City's form source.
- 2
Fill In the Details
Enter the partners' names, mailing information, date, and other requested details.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
Sign on Video
Sign and swear to the statement during the online notary session.
- 5
Submit to the City
Mail your former partner a copy by certified mail and provide Iowa City the original or a copy of the returned receipt.
Preview the form
The blank PDF straight from Iowa City. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I file the termination statement?
- Complete the statement, mail a copy to your former partner by certified mail, and provide Iowa City with the original or a copy of the returned receipt, as the form directs.
- Do I need to sign this statement before a notary?
- Yes. The form includes a subscribed-and-sworn jurat, so sign before a notary and swear that the statements are true and correct.
- Can I sign the statement with a commissioned online notary?
- Iowa authorizes remote online notarization by its notaries under Iowa Code §9B.14A. Iowa Code §9B.11 also recognizes notarial acts by authorized officers of another state. Confirm acceptance with the City if unsure.
- When does the domestic partnership termination take effect?
- The form says termination occurs upon the earliest listed event: a partner's death, 90 days after both partners file a notice, or 90 days after one partner files and provides proof of notice mailing. Confirm with the city if unsure.