Golden Valley, MN · Hennepin County
Domestic Partnership Notice of Termination
This notice is for domestic partners who are ending their partnership and submit the signed form to the City of Golden Valley with the required $25 application fee.
- 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
The form records a domestic partnership termination and includes spaces for both partners’ names, address, signatures, and a notary’s sworn statement. The form says it must be signed in front of a notary and lists termination grounds that include a partner’s death or written notice followed by filing with the City Clerk. Both partners also sign to acknowledge the data practices notice.
Who needs it
Domestic partners seeking to terminate their registration with Golden Valley should complete this form, provide the required information, and submit it to the city.
Why it needs a notary
The form carries a subscribed-and-sworn jurat, and both partners must sign the termination notice in front of the notary public.
How to get this notarized
- 1
Download the Form
Get the Domestic Partnership Notice of Termination from the City of Golden Valley.
- 2
Fill In the Form
Enter both partners’ names and address, review the form, and complete the applicable sections.
- 3
Book an Online Notary
Schedule a commissioned online notary and have both partners ready to sign.
- 4
Sign on Video
Join the online notarization session and sign the termination notice in front of the notary.
- 5
Submit to the City
Submit the notarized form and the $25 fee to the City of Golden Valley.
Preview the form
The blank PDF straight from Golden Valley. 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 submit the termination notice?
- Complete the form, have both partners sign in front of a notary, and submit it to the City of Golden Valley with the $25 fee. The form identifies filing with the City Clerk as part of one listed termination ground.
- Do I need both partners to sign before a notary?
- The form has signature lines for Partner 1 and Partner 2 and says it must be signed in front of a notary public. Ask the city if you have questions about completing the signatures.
- Can I use an online notary for this form?
- Minnesota authorizes remote online notarization by its notaries under Minn. Stat. §358.645, and Minn. Stat. §358.61 recognizes notarial acts by a notary public or other authorized officer of another state. Use a commissioned online notary.
- What fee does the form list?
- The form lists a $25 application fee and says to make checks payable to the City of Golden Valley. Confirm with the city if unsure about the fee or how to submit payment.