HomeMy WebLinkAboutRental Cancellation Letter 1/8/25 >°� YA� o TOWN OF YARMOUTH Helhf
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Health
MATACNEE9[ 4 Telephone(508)398-2231,ext. 1240 Division
\1'`ORP0RA1Ep` Fax (508)760-3472
AFFIDAVIT
Residential Property Not Offered for Rent
Date: 1 ' R/LS
Owner's Name: �aC o�, ,e
Address: Cab `-o7c i L(
City/State/ZIP: Ital., k ( - At GA 02 Y-I
Phone/Email: c3 2 Z(_ y 50 z J a I",PrXPL J�j M0.( //(c --4-N
Yarmouth Property Address:
Address: I ' Sal( orkS ZYr? 0/f
City/State/ZIP: 5, YA.,y„��(C., M t4
I, To: t c 6 '.2 , am the owner of the above-referenced
property, as verified by the of Yarmouth Tax Records. I hereby confirm that the
dwelling/unit/apartment mentioned above,J not currently related or is being offered for
rent. t-tGS $ems r, S6(d
I am fully aware that according to the regulations of the Yarmouth Health Department,
any residential property that is offered for rent or lease must be registered, and a Rental
Occupancy Certificate must be issued.
Therefore, I understand that if I decide to offer my residential property for rent in the
future, I must adhere to the following steps:
• Register with the Yarmouth Health Department.
• Obtain a Rental Occupancy Certificate in accordance with Chapter 108 of the
Occupancy of Buildings regulations.A rental inspection may be required.
By signing below, I acknowledge my understanding of these requirements and commit to
complying with them when and if I choose to offer my property for rent in the future.
Owner(s) Signature:
Please return this affidavit to the Yarmouth Health Department at the following address:
Yarmouth Health Department 1146 Route 28 South Yarmouth,MA. 02664
Or email: mdaley@yarmouth.ma.us