HCDD Not a Rental/Owner Occupied/Unoccupied Form StateCountyTO WIT: I am competent to be a witness in a judicial proceeding, am over 18 years of age and have personal knowledge of the facts asserted herein. I am the owner of the property located atAddressSalisbury, Maryland, (hereinafter referred to as "Property"). I am personally familiar with the Property and its occupancy.The property is currentlyOwner OccupiedUnoccupiedNon RentalNot VacantFrom Date To Date If the information provided herein is found to be falsified, you may be subject to a $500/day citation.Owners Digital Signature*Please type your name above acting as your digital signature.
