How to fill out Iowa 411094

Eight boxes and a signature, and the smallest form in the Iowa set. When a lien is cancelled the county treasurer has to send the certificate somewhere, and the statute's order is: the next lienholder, then whoever the owner names in writing, then the owner. This is that writing. A seller uses it to have the released title sent straight to a buyer, a dealer, or an address they will actually be at.

Top of the blank Iowa 411094, Notice to Deliver a Title Certificate to a Person Other Than the Owner, as the agency publishes it

Step 1 · the form itself Blank 411094 — Notice to Deliver a Title Certificate to a Person Other Than the Owner Online form at iowadot.forms.govos.com · new tab View the blank 411094

Top of our filled-in example of Iowa 411094, Notice to Deliver a Title Certificate to a Person Other Than the Owner

Step 2 · how to fill it in Our filled-in 411094 guide PDF · 2 pages · 370 KB · new tab See our filled-in example

Two documents, and they are not the same thing. Take the blank 411094 from the iowadot.forms.govos.com copy so you get the revision that is current today, then print our 411094 guide and keep it beside you while you fill theirs in.

Written against 411094 (5-00), issued under Iowa Code s. 321.50(5)(a), direction by the owner as to delivery of the certificate. Do not use this to have a title sent to a buyer who has not paid yet. Once the certificate has been delivered to somebody else's address, getting it back is a conversation rather than a process, and Iowa's own advice for proof of sale assumes you still control the document until the money is in.

Last updated August 22, 2026.

Filled in

What a completed one looks like

This is the actual 411094, rendered from the PDF the Iowa Department of Transportation, Motor Vehicle Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.

Amber — you write it
Grey — not yours to fill
Numbered — explained below

A completed Iowa DOT Form 411094, Notice to Deliver a Title Certificate to a Person Other Than the Owner. It is addressed to the county treasurer's courthouse at Knoxville, Iowa with the zip code, names the owner as Marlys J. Vandenberg with a title number, and directs that on cancellation of the security interest the certificate be delivered to Curtis A. Boelman at 903 Oakdale St, Newton, Iowa 50208. The date and the owner's signature are completed at the foot. — Rendered from the department's own published form and completed as a seller would complete it to have a released title go straight to the buyer. Every name, address and number is invented for the sample.

Field by field

Every line, in the order you meet it

1
You fill this in
County Treasurer, Courthouse
Which office you are directing, with the courthouse town and its zip on the next box.
Watch out: The county holding the record is the one that will do the releasing. It is printed on the front of your certificate.
2
You fill this in
Owner
Your name, as the person entitled to receive the title in the absence of any direction.
Watch out: If two names are on the title, both of you are the owner for this purpose. Sign as the certificate reads.
3
You fill this in
Title No.
The certificate number the direction attaches to.
Watch out: It is on your registration receipt if you have never held the paper title - which, with a lender on the record, is common.
4
You fill this in
Name
Who the certificate should go to instead of you.
Watch out: Spell it as it will appear on the envelope and as it appears on their identification. This is the only place the recipient is named.
5
You fill this in
Address
One line for street, city, state and zip together.
Watch out: A post office box is fine here; it is a delivery instruction, not a residency question.
6
You fill this in
Date and sign
The last two boxes on the form. No notary, no witness.
Watch out: Hand it in at the same counter as anything else you are filing. The treasurer keeps it against the record until the release turns up.

At a glance

What goes where

On the form	What to put in it
County Treasurer, Courthouse, and Zip Code	The office being directed. Two boxes, the second one the courthouse's zip.
Owner	You, named as the owner of the vehicle.
Title No.	The certificate the direction applies to.
Name	Who the title is to be delivered to instead.
Address (Street, City, State, Zip Code)	One line for their whole address.
Date and Signature of Owner	Two boxes at the foot. No notary.

What gets this one rejected

•Using it while a second lien is still on the record. The statute's order puts the next secured party ahead of the owner's direction.
•Using it to redirect a title that has no lien on it at all. There is nothing for the treasurer to release, so there is nothing to redirect.
•Filling it in for somebody else's vehicle. It is signed by the owner, and it is the owner's authority to give.
•Treating it as a transfer. It moves an envelope, not ownership. The assignment on the back of the certificate is still what sells the car.
•Expecting it to speed up the lender. It directs the county treasurer once the release arrives; it does nothing about how long the release takes.

Rules that decide whether it is accepted

•It is the middle rung of a three-rung ladder. s. 321.50(5)(a) sends the certificate to the first secured party, or if there is none, to the person as directed by the owner, in writing, on a form prescribed by the department, or if there is no person designated, then to the owner. This is that prescribed form.
•It is dated 5-00 and has not needed changing since. The masthead reads 5-00. Twenty-six years is a long run for a form, and it is a fair sign the underlying rule has not moved.
•It has no notary and no fee. Nothing on it asks for either. It is a direction, not an affidavit.
•It is genuinely useful in a private sale. A buyer who is paying off your loan wants the clean title in their hands, not posted to an address you are leaving. This is the way to arrange that at the counter rather than by hoping.
•The address line is one box for everything. Street, city, state and zip run together on a single rule. Write small and write clearly - it is the address a title certificate will be posted to.

Every line here was read off 411094 (5-00) itself — the PDF is here — and off the Iowa Department of Transportation, Motor Vehicle Division pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Forms that go with this one

411168 · Cancellation of Security Interest

Clearing a lien in Woodbury County? Our page on the Sioux City treasurer's drive-up window notes it takes lien releases, though not title transfers.

Back to all Iowa seller paperwork, or what selling a car in Iowa involves.

How to fill out Iowa 411094

What a completed one looks like

Every line, in the order you meet it

County Treasurer, Courthouse

Owner

Title No.

Name

Address

Date and sign

What goes where

What gets this one rejected

Rules that decide whether it is accepted

Forms that go with this one

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