HomeMy WebLinkAboutNot Renting Affidavit 08_11_2025d
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TOWN OF YARMOUTH Board of
Health
I I46 ROUTE 28. SOUTH YARMOUTH. MASSACHUSETTSO26
Telephone (508) 198-2231, ext. l24l
Fax (508) 760-3472
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Owner's Name
Address: 5
City/State/ZIP:
Phonc/Email:Yl 5' .?v- o77q
Yarmouth Property Address:
Address: 57 6"XicPZ /arte
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€lrtun Srttz*trnl , am the owner of the above-referenced
property, as verificd by the Town of Yarmouth Tax Records. I hereby confirm that the
dwe lling/uniti'apartment mentioned above is not currently rented or is being otTered 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.
Thcrefore, I understand that ifl 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 wirh Chapter 108 ofthe
Occupancy ofBuildings regulations. A rental inspection mav 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 propeny for rent in the future.
Owner(s) Signature 7n
Please retum this affidavit to the Yarmouth Health Department at the following address:
Yarmouth Health Department I 146 Route 28 South Yamrouth, MA. 02664
Or email: sprovos@yarmouth.ma.us
AFFIDAVIT
Residential Property Not Offered for Rent
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