HomeMy WebLinkAboutNot Renting Affidavit 08_08_2025Y4
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TOWN OF YARMOUTH Board of
Health
I I46 ROUTE 28. SOUTH YARMOUTH. MASSACHUSETT502664.2445I Healrh
DivisionTelephone (508) 398-2231, ext. 1241
Fax (508\ 760-3472
AFFIDAVIT llJG ,,' 1 ,[],13
HEALTH DEPT,
Residential Property Not Offered for Rent
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C)wner's Name:t^-A*,* r. S
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ibe,{o^- l,'o\\4.-'am the owner ofthe above-referenced
properry, as verified by thc Town of Yarmouth Tax Records. I hcreby confirm that the
dwelting/unit/apartment mentioned above is not currently rented or\,/being oft'ered for
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I am fully aware that according to thc rcgulations 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 C-ertificate in accordanee with Chapter $8 of the
Occupancy of Buildings regulations. A rental inspection may be requircd.
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
Yamrouth Health Department I 146 Route 28 South Yarmouth, MA. 02664
Or email: sprovos@yarmouth.ma.rs
Date:
Yarmouth Properly Address:
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