HomeMy WebLinkAboutNot Renting Affidavit 08_04_2025.A
'Jt TOWN OF YARMOUTH Board of
Health
1146 ROUTE 28, SOUTH YARMOUTH. MASSACHUSETTSO2664-24451 Health
DivisionTelephone (508) 398-2231, ext. l24l
Fax (508) 760-3472 U,ED
AFFIDAVIT
Residential Property Not Offered for Rent
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HEALTH DEPT,
Owner's Name
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Yarmouth Property Address
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l. fri5!1 7;rre l'. am the owner of the above-referenced
p.op".ry, ^\"rifed by the Town of Yarmouth Tax Records. I hereby confirm that the
dwelling/unit/apartment mentioned above is not currently rented or is being offered for
rent.
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 lollowrng steps:. Register with the Yarmouth Health Department.. Obtain a Rental Occupancy Certificate in accordance with Chapter l0J of the
Occupancy of Buildings regulations. A rental inspection mar 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 4Au I,LtiL?F
Please retum this affidavit to the Yarmouth Health Department at the following address:
Yannouth Health Department 1146 Route 28 South Yarmouth, MA. 02664
Or email: sprovos@yarmouth.ma.us
City/State/ZIP:
Phone/Email:
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