Iowa Secretary of State - Business Services · Iowa state form
496C Foreign Biennial Report Statement Under Oath
Form 496C is a statement under oath for a foreign professional corporation concerning individuals who practice a profession in Iowa on its behalf.
- What this form is
- The 496C Foreign Biennial Report Statement Under Oath asks a foreign professional corporation to state whether its shareholders, directors, officers, employees, or agents who practice a profession in Iowa on its behalf are licensed to do so. The form includes a space for an individual’s printed name, signature, and date, followed by a notarial section for the sworn or affirmed statement.
- Who needs it
- A foreign professional corporation making the biennial report statement about individuals who practice a profession in Iowa on its behalf needs this form.
- Why it needs a notary
- The statement must be signed and sworn to or affirmed before a notarial officer; this can be done online with a commissioned online notary.
- How to submit it
- The document provides no submission instructions. Submit it to the Iowa agency named on the form.
Questions
What is form 496C?
It is a statement under oath for a foreign professional corporation concerning whether individuals who practice a profession in Iowa on its behalf are licensed to do so.
Who completes this statement?
A foreign professional corporation makes the statement. The form includes fields for an individual’s printed name, signature, and date.
Does form 496C need to be notarized?
Yes. The statement must be signed and sworn to or affirmed before a notarial officer. This can be done online with a commissioned online notary.