Notice of Termination - Washington Secretary of State

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                                                                     This Box For Office Use Only
Notice of Termination of State
Registered Domestic Partnership
See attached detailed instructions
□ Filing Fee $50.00
                                                                     Registration #



                    DOMESTIC PARTNERSHIP TERMINATION
                                                 Chapter 26.60 RCW


Domestic Partnership Registration Number:


                                                      PARTNER 1
Name:
        First                                             Middle                                                Last

Mailing Address:____________________________________________________

City ____________________________                         ______State                               Zip Code ____________



                                                      PARTNER 2
Name:
        First                                             Middle                                                Last

Mailing Address:___________________________________________                                               _________

City __________________________                              ____State                              Zip Code __________       _



Domestic Partnership Termination may be subject to additional procedures for Child support, maintenance,
parenting plan obligations, and enforcement of such orders. PLEASE READ THE FOLLOWING:

    1. Judicial Dissolution - To terminate a domestic partnership, a domestic partner must file a petition for
       dissolution in superior court and follow the same procedures applicable to dissolution of marriages.
       Once a month, the State Registrar of Vital Statistics must submit to the Secretary of State a list of
       persons who have dissolved their domestic partnerships.




Washington Domestic Partnership - Termination   Washington Secretary of State                                             Revised 09/08
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    2. Non Judicial Termination - Parties may use a non judicial termination process by filing a notice of
       termination with the Secretary of State if, at the time of filing the notice:
    • Both parties desire that the domestic partnership be terminated and both have signed the notice of
       termination.
    • Neither party has minor children, whether born or adopted before or after the domestic partner
       registration and neither party is pregnant.
    • The domestic partnership is not more than five years in duration.
    • Neither party has any ownership interest in real property nor does neither party lease a residence.
       (except a lease of a residence occupied by either party that terminates in a year and does not include
       an option to buy)
    • There are no unpaid obligations over $4,000 incurred by either or both parties after the domestic
       partnership registration, except for debts on a vehicle. (this threshold amount will be reviewed and
       adjusted for inflation)
    • The total fair market value of community property assets, minus any encumbrances, is less than
       $25,000 and neither party has separate property assets in excess of $25,000. (this threshold amount
       will be reviewed and adjusted for inflation)
    • The parties have executed an agreement establishing the division of assets and debts and have
       executed any documents to effectuate the agreement.
    • The parties waive any rights to maintenance by the other party. A domestic partnership is no longer
       automatically terminated if the parties enter into a marriage recognized in this state with another
       person.

                                           TERMINATION SIGNATURES

By signing and submitting this notice we declare that we have read the notices and instructions
associated with this form and we terminate our State Registered Domestic Partnership. These
representations are true and correct, and contain no material omissions of fact to the best of our
knowledge and belief.

X                                                                 X
Partner 1 (Signature)                                             Partner 2 (Signature)

State of Washington                                               State of Washington
County of                                                         County of

Signed and affirmed before me on                                  Signed and affirmed before me on

By Partner 1 (print name)                                         By Partner 2 (print name)


Notary Public Signature                                           Notary Public Signature

My Commission Expires:                                            My Commission Expires:




        Notary seal                                                        Notary seal



Washington Domestic Partnership - Termination   Washington Secretary of State                        Revised 09/08
 INSTRUCTIONS - Termination of State Registered Domestic Partnership

Please complete all sections. USE DARK INK ONLY

Domestic Partnership Registration Number
Provide the registration number as recorded with the Washington Secretary of State, Corporations Division

Partner 1
Complete the name and address section.

Partner 2
Complete the name and address section.

Termination Signatures
Both partners must sign this section. A notary is required for each partner’s signature. The form provides
space for a separate notarization allowing partners to sign at different times or places.

Important Information
Termination of a State Registered Domestic Partnership may affect property and inheritance rights, including
beneficiary designations and other agreements such as the appointment of a State Registered Domestic
Partner as an attorney in fact under a power of attorney. For all questions related to the legal implications of
this termination please consult an attorney.

Additional Information
At the time of filing, the Corporations Division will provide each partner with one original Certificate of
Termination of State Registered Domestic Partnership. Certificates will be mailed to each partner address
listed on the termination filing. After the date of filing, additional certificates are available from the Corporations
Division for a fee of $5.00 each.

The termination will be effective 90 days after the Termination of State Registered Domestic
Partnership is filed with the Secretary of State, Corporations Division.

Fees: The filing fee for Termination of State Registered Domestic Partnership is $50.00. Make the check or
money order payable to “Secretary of State.”

Mail completed forms and payment to:
Secretary of State
Corporation Division
801 Capitol Way S
PO Box 40234
Olympia WA 98504-0234

If you have questions or need assistance, please visit the Corporation Division website at
www.secstate.wa.gov/corps or call 360-725-0377.




                                                          Print Form


Washington Domestic Partnership - Termination   Washington Secretary of State                              Revised 09/08

				
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