This is an editable pdf form. Click the box above to make the form fields visible. Westchester County Clerk Timothy C. Idoni Affidavit of Termination of Registered Domestic Partnership BE IT KNOWN Domestic Partnership Registration Number __________________________between ______________________________________ and ___________________________________ as filed in the Office of the Westchester County Clerk on _____________________________ is hereby terminated as detailed below in accordance with Chapter 550 of the laws of Westchester County and under penalty of perjury. IF BOTH PARTNERS INTEND TO TERMINATE THE PARTNERSHIP, COMPLETE THIS SECTION We acknowledge the following: The termination is effective thirty (30) calendar days from the date of filing this executed Affidavit of Termination with the Office of the Westchester County Clerk, and We must pay a fee of thirty-five ($35.00) dollars. Signature Address: Signature Sworn to before me this _____________________ day of ___________________________, 20______. Notary Public IF ONE PARTNER INTENDS TO TERMINATE THE PARTNERSHIP, COMPLETE THIS SECTION I acknowledge the following: I have sent a written notice that I am terminating the partnership to the other partner at the other partner's last known address by means of registered mail, return receipt requested. The termination is effective thirty (30) calendar days from the date of filing this executed Affidavit of Termination with the Office of the Westchester County Clerk, and I must pay a fee of thirty-five ($35.00) dollars. Signature Address: Print Name Sworn to before me this _____________________ day of ___________________________, 20______. Notary Public Rev. 5/08 American LegalNet, Inc. www.FormsWorkFlow.com