Iowa Secretary of State - Business Services · Iowa state form
496C Domestic Statement Under Oath
This statement is for a domestic professional corporation to report under oath on professional licensing among its employees, agents, shareholders, directors, and officers.
- What this form is
- The 496C Domestic Statement Under Oath is a biennial report statement for a domestic professional corporation. The signer states whether the corporation’s employees or agents who practice a profession in Iowa are licensed, and whether its shareholders, directors, and officers are licensed to practice a profession the corporation is authorized to practice. The form includes a notarial section for the signature.
- Who needs it
- A domestic professional corporation completing the biennial report statement under oath about professional licensing in Iowa.
- Why it needs a notary
- The signature must be notarized. This can be done online with a commissioned online notary.
- How to submit it
- Submit it to the Iowa agency named on the form.
Questions
What is form 496C Domestic Statement Under Oath?
It is a biennial report statement for a domestic professional corporation. The signer makes statements under oath about whether certain employees, agents, shareholders, directors, and officers are licensed to practice a profession in Iowa.
Who completes the 496C statement?
The form is for a domestic professional corporation. It asks the undersigned to make statements about professional licensing among the corporation’s employees, agents, shareholders, directors, and officers.
Does the 496C statement need to be notarized?
Yes. The form includes a section stating that the signer signed and swore to or affirmed the statement before a notarial officer. This can be done online with a commissioned online notary.