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*
MM slash DD slash YYYY
TO DATE*
MM slash DD slash YYYY
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.
Email
This field is for validation purposes and should be left unchanged.