Non Rental Affidavit Form

Name*
First Last
Phone
Email*
STATE OF
State / Province / Region
COUNTY OF
COUNTY
1. 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.2. I am the owner of the property located at
ADDRESS
3. I am personally familiar with the Property and its occupancy.
THE PROPERTY IS CURRENTLY*
- OWNER OCCUPIED
- UNOCCUPIED
- NON RENTAL/IMMEDIATE FAMILY
- RENTAL
FROM DATE*
TO DATE*
DIGITAL SIGNATURE OF OWNER
PLEASE ENTER YOUR NAME AS A SIGNATURE
IF THE INFORMATION PROVIDED HEREIN IS FOUND TO BE FALSIFIED, YOU MAY BE SUBJECT TO A $500/DAY CITATION.
I DO SOLEMNLY AFFIRM under the penalties of perjury and upon personal knowledge that the contents of the foregoing paper are true.

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