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CHAPTER 4FORMS[Prior to 7/13/88, see Secretary of State[750], Ch 4]721—4.1(17A)��Forms and instructions.��Forms and their instructions are developed by the agency in accordance with statutory directives. Forms used on the secretary of state website�s fast track filing system have the same functions and descriptions as the forms described in this chapter.Copies of forms relating to corporation matters, the Uniform Commercial Code, elections, and other services may be seen at the secretary of state�s Lucas State Office Building office, Des Moines, Iowa 50319; or on the secretary of state website at sos.iowa.gov.The subrules which follow describe those forms which members of the public use when dealing with the agency and its various divisions. ��4.1(1)��Forms of general application.��a.��Public disclosure of gifts made to a �local official,� �local employee,� or to the person�s immediate family.��b.��Disaster Recovery Registration�used for registering in compliance with Iowa Code chapter 29C.��c.��Apostille or Certification Request Form�used to order apostilles or certified copies.��d.��Condemnation Application�for use by county recorders and sheriffs pursuant to Iowa Code sections 6B.3(3)�b� and 6B.38(2).��e.��Credit Card Payment Authorization Form�used to pay fees with a credit or debit card.��f.��Charge Transaction Form�used to charge fees to an existing secretary of state charge account.��g.��Transient Merchant Application�application for transient merchant license required by Iowa Code section 9C.3.��h.��Application for Registration/Renewal as an Athlete Agent�used to apply for a new certificate of registration to act as an athlete agent in the state of Iowa or to renew an existing registration.��4.1(2)��Notary public forms. Copies of notary public forms are available to the public on the secretary of state website at sos.iowa.gov or upon request to the Notary Clerk, Office of the Secretary of State, Lucas State Office Building, Des Moines, Iowa 50319. The telephone number is (515)281-5204.��a.��Application for Commission as Notary Public�used to apply to be commissioned as an Iowa notary public.��b.��Application for Renewal of Commission�used to apply to renew an existing Iowa notary public commission.��c.��Notary Public Change/Amendment to Application�used to update an Iowa notary public commission record.��d.��Certificate of Notarial Commission.��e.��Statement of Complaint Regarding a Notary Public, Notarial Officer, or Remote Notarization Transaction.��f.��Application for Approval to Perform Notarial Acts for Remotely Located Individuals.��4.1(3)����Trademark registration forms.����a.��Trademark/Service Mark Registration Application�application to register a mark currently in use in Iowa.��b.��Trademark/Service Mark Renewal Application�application to apply to renew mark registration for one additional five-year period.��c.��Trademark Assignment Application�to assign a mark registration from current registrant to a new registrant.��4.1(4)����Credit services organization forms.����a.��Registration of Credit Services Organization�registration statement required by Iowa Code section 538A.5.��b.��Credit Services Organization Bond Form�submitted with Iowa Code section 538A.4 surety bond filing.��c.��Surety Account Notice for a Credit Services Organization�submitted in accordance with Iowa Code section 538A.4 to notify the secretary of state of establishment of a surety account.This rule is intended to implement Iowa Code chapter 17A.Related ARC(s): 7059C721—4.2(17A)��Business entity forms.��Copies of business entity forms are available to the public on the secretary of state website at sos.iowa.gov or upon request to the Business Services Division, Office of the Secretary of State, Lucas State Office Building, Des Moines, Iowa 50319. The telephone number is (515)281-5204.��4.2(1)����For-profit and nonprofit business entity forms.����a.��Certificate of Good Standing�shows that a corporation is in good standing and is also used to reflect that certain filings have not been made.��b.��Certification Certificates�certifies copies attached are true reproductions of documents on file.��c.��Application for Certificate of Withdrawal�used by a foreign entity to stop business in Iowa.��d.��Profit Corporation Statement of Withdrawal�used by a foreign profit corporation to stop business in Iowa.��e.��Application for Certificate of Authority�used by a foreign entity to apply for authority to do business in Iowa.��f.��Foreign Profit Corporation Registration Statement�used by a foreign profit corporation to apply for authority to do business in Iowa.��g.��Certificate of Authority�issued to foreign entities that have registered to do business in Iowa.��h.��Application for Reinstatement�used by an administratively dissolved corporation, limited liability company, or cooperative to apply for reinstatement.��i.��Application for Reservation of Name�form by which applicant can reserve an entity name for future use.��j.��Fictitious Name Resolution�used by a registered entity to notify the office of its adoption of a fictitious name.��k.��Statement of Change of Registered Office and/or Registered Agent�used by a registered entity to change its registered office and/or registered agent.��l.��Appointment of Agent (501B)�used by an unincorporated nonprofit association to appoint its registered office and registered agent.��m.��Application for Amended Certificate of Authority�used by authorized foreign entities to reflect changes of name or authorized purposes.��n.��Amended Foreign Registration Statement�used by authorized foreign profit corporations to reflect changes of name or other information.��o.��Application for Registration of a Corporate Name�form by which a foreign corporation may register a name.��p.��Application for Renewal of Registration of Corporate Name�used to renew registration of name.��q.��Notice of Transfer of Reservation of Name�used to transfer an entity name reservation from one person to another.��4.2(2)����Biennial reports.��Biennial Report for an Iowa Corporation�required to be filed by all domestic for-profit corporations.Biennial Report for a Foreign Corporation�required to be filed by all foreign for-profit corporations.Iowa Nonprofit Biennial Report�required to be filed by all domestic nonprofit corporations.Foreign Nonprofit Biennial Report�required to be filed by all foreign nonprofit corporations.Iowa Professional Biennial Report�required to be submitted by domestic professional corporations.Domestic Professional Corporation Biennial Report Statement Under Oath�required by Iowa Code section 496C.21(1)�b� to be submitted with the Iowa professional biennial report.Foreign Professional Biennial Report�required to be filed by foreign professional corporations.Foreign Professional Corporation Biennial Report Statement Under Oath�required by Iowa Code section 496C.21(1)�c� to be submitted with the foreign professional biennial report.Cooperative Association Biennial Report�required to be filed by cooperative associations.��4.2(3)����Agricultural reporting.����a.��Biennial Agricultural Report�used by U.S. holders of Iowa agricultural land to comply with Iowa Code chapter 10B biennial reporting requirements.��b.��Pork and Beef Processor Report�used by Iowa pork and beef processors to comply with Iowa Code chapter 202B annual reporting requirements.��c.��Registration of Nonresident Alien Land Ownership�used by non-U.S. holders of Iowa agricultural land to comply with Iowa Code chapter 9I registration requirements.��d.��Nonresident Alien Land Ownership Report�used by non-U.S. holders of Iowa agricultural land to comply with Iowa Code chapter 9I annual reporting requirements.Information regarding forms for agricultural reporting may be requested from the Business Services Division, Office of the Secretary of State, Lucas State Office Building, Des Moines, Iowa 50319. The telephone number is (515)281-5204.This rule is intended to implement Iowa Code sections 9I.7, 9I.8, 9I.9, 10B.4, 202B.301, and 202B.302.Related ARC(s): 7059C721—4.3(17A)��Election forms.��Section 1. Election Day and Canvass FormsForm Number Description1-A(Rev.-95)Voter�s Declaration of Eligibility1-B(Reserved)1-C(Reserved)1-D(Rev.-90)Notice to Voter of Rejection of Absentee or Special Ballot1-E(Reserved)1-F(Rev.-90)Oath for Officer or Clerk of Election1-G(Rev.-95)Statement to Person Casting a Special Ballot1-H(Rev.-95)Envelope for Special Ballot1-I(Rev.-95)Affidavit of Voter Requesting Assistance1-J(Rev.-95)Declaration of Intent to Serve as Election Observer (Public Measure Elections)1-K(Rev.-90)Ballot Record and Receipt1-L(Rev.-95)County Abstract of Votes1-M(93)Accreditation Form�Pollwatchers for Political Parties (Challenging Committees)1-N(93)Accreditation Form�Observers for Political Parties (To Witness the Counting of Ballots)1-O(95)Letter of Appointment�Pollwatchers for Nonpartisan and Nonparty Candidates1-P(95)Application for Additional Ballots1-Q(95)Application for Additional Ballots�Auditor�s Record of Telephone Request1-R(95)Ballot Photocopy Record1-S(97)Identification StatementSection 2. Nomination Documents and FormsForm Number Description2-A(Rev.-97)Affidavit by Candidate�Primary Election2-B(Rev.-97)Affidavit by Candidate�Nominations by Political Parties2-C(Rev.-97)Affidavit by Candidate�Nominations by Nonparty Political Organizations2-D(Rev.-97)Affidavit by Candidate�Nonpartisan Nominations2-E(Rev.-97)Nomination Paper�For U.S. Senator, U.S. Representative & Statewide Offices2-F(Rev.-97)Nomination Paper�For State Senator2-G(Rev.-97)Nomination Paper�For State Representative2-H(Rev.-97)Nomination Paper�For Nonpartisan Nominations and Nonparty Political Organizations2-I(Rev.-93)Certificate of Nomination by Nonparty Political Organization�Chapter 442-J(Rev.-97)Nomination Petition for the Offices of Electors for President and Vice President of the United States2-K(Rev.-97)Nomination Paper for County Office2-L(Rev.-95)Nomination by Convention�Certificate of Nomination by Political Party�Chapter 432-M(Rev.-97)Affidavit by Candidate�School and City Elections2-N(Rev.-97)Affidavit by Candidate�City Elections�Chapter 442-O(Rev.-97)Nomination Petition�Merged Area Schools2-P(Rev.-97)Petition Requesting Election2-Q(93)Judicial Declaration of Candidacy2-R(93)Certificate of Candidates for Presidential Electors2-S(Rev.-97)Nomination Petition�Governor and Lieutenant Governor�Chapter 45Section 3. Absentee Voting FormsForm Number Description3-A(Rev.-97)Application for Absentee Ballot3-B(Rev.-97)Absent Voter�s Affidavit and Envelope3-C(Rev.-90)Affidavit for Voter Who Did Not Receive Absent Voter�s Ballot3-D(Rev.-97)Absentee Ballot Carrier Envelope3-E(93)Statement of Voter�Lost Absentee Ballot3-F(93)Log for Absentee Ballot Delivery Team3-G(Rev.-95)Challenge of Absentee Voter 3-H(Rev.-97)Statement to Voter of Change or Declaration of Party Affiliation3-I(97)Statement to Voter of Change or Declaration of Party Affiliation for Voter in Nursing Home or HospitalSection 4. Armed Forces and Overseas Absentee VotingForm Number Description4-A(Rev.-97)Armed Forces or Overseas Ballot�Delivery Envelope4-B(Rev.-97)Armed Forces or Overseas Ballot�Return Carrier Envelope4-C(Rev.-97)Armed Forces or Overseas Ballot�Affidavit Envelope4-D(93)Proxy Absentee Ballot RequestSection 5. Administrative FormsForm Number Description5-A(Reserved)5-B(Rev.-97)Certificate of Test�Central Count Tabulating Equipment5-C(Rev.-97)Certificate of Test�Precinct Count Tabulating Equipment5-D(Rev.-95)Election Document Retention Record5-ERescindedThis rule is intended to implement Iowa Code sections 43.13, 43.14, 43.18, 43.42, 43.43, 43.61, 43.67, 43.88, 44.3, 45.1, 45.3, 46.20, 48A.4, 48A.32, 49.65, 49.66, 49.77, 49.79, 49.80, 49.81, 49.90, 49.91, 49.104(2), 49.104(3), 49.104(5), 49.104(6), 50.3, 50.4, 50.5, 50.9, 50.10, 50.12, 50.19, 50.24, 50.26, 50.28, 51.11, 52.23, 52.35, 52.38, 53.2, 53.13, 53.19, 53.21, 53.22, 53.23(4), 53.25, 53.26, 53.30, 53.31, 53.40, 53.46(2), 54.5, 56.2(5), 260C.15(2), 277.4, 278.2, 331.306, 362.4 and 376.4 and 11 CFR, Subpart C, Section 8.7(1995).721—4.4(554, 17A)��Uniform Commercial Code forms.��UCC1�Financing Statement.UCC1Ad�Financing Statement Addendum (used in connection with UCC1).UCC3�Financing Statement Amendment.UCC3Ad�Financing Statement Amendment Addendum (used in connection with UCC3).UCC5�Information Statement.UCC11�Information Request.Affidavit of Wrongful Filing�used to assert that a UCC document was not authorized to be filed and was caused to be communicated to the filing office with the intent to harass or defraud the affiant.Master File Agreement�used to order corporation and UCC data.Security Authorization Request�used to apply for security authorization to receive corporation and UCC data.This rule is intended to implement Iowa Code chapter 554 (Article 9).Related ARC(s): 7059C721—4.5(572, 17A)��Mechanics� notice and lien registry (MNLR) forms.��
- Mechanics� Notice and Lien Registry�used to provide submitter information in conjunction with other MNLR forms.
- Cover Page for Commencement of Work Notice�used in compliance with Iowa Code section 572.13A.
- Cover Page for Preliminary Notice�used in compliance with Iowa Code section 572.13B.
- Cover Page for Mechanics� Lien - Commercial�used in compliance with Iowa Code section 572.8.
- Cover Page for Mechanics� Lien - Residential�used in compliance with Iowa Code section 572.8.
- Mechanics� Lien�used to comply with Iowa Code section 572.8.
- Assignment of Mechanics� Lien�used to transfer a lien.
- Cover Page for Bond for Discharge of Lien�used in compliance with Iowa Code section 572.15.
- Cover Page for Bond to Prevent Exemplary Damages�used in compliance with Iowa Code section 572.30(2).
- Affidavit for Release of Mechanics� Lien Bond�used in compliance with 721�subrule 45.8(3).
- Cover Page for Demand for Acknowledgment�used in compliance with Iowa Code section 572.23.
- Cover Page for Demand to Commence Action�used in compliance with Iowa Code section 572.28.