HomeMy WebLinkAboutNot Renting Affidavit 08_07_2025TOWN OF YARMOU
I I46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTSO2
Telephone (508) 398-2231, ext. l24l
Fax (508) 760-3472
AFFIDAVIT
Residential Property Not Offered for Rent
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Owner's Name:
Address: 3 3 Vtaw fatt,. Ranrd S..-th
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Phone/Email:
Address
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Yarmouth Property Address
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I-t, rr*L xtec€, am the owner ofthe above-referenced
property, as verified by the Town of Yarmouth Tax Records. I hereby confirm that the
dwelling/unit/apartment mentioned above is not currently rented or is being ot'fered for
rent.
I am fully aware that according to the regulations of the Yarmouth Health Department,
any residential property that is ofl'ered for rent or lease must be registered, and a Rental
Occupancy Certificate must be issued.
Therefore, I understand that ifI decide to offer my residential property for rent in the
future. I must adhere to the following steps:
. Register with the Yannouth Health Department.o Obtain a Rental Occupancy Certificate in accordance with Chapter 108 of the
Occupancy of Buildings 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 ch er my prope rty for rent in the future.
Owner(s) Signa
Please return this affidavit to the Yarmouth Health Department at the following address
Yannouth Health Department 1146 Route 28 South Yamlouth, MA. 02664
Or email: sprovos@yarmouth.ma.us
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Division
HEALTH DEPT,
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