HomeMy WebLinkAboutNot Renting Affidavit 08_11_2025TOWN OF YARMOUTH Board of
Health
Health
Division
I I46 ROUTE 28. SOUTH YARMOUTH. MASSACHUSETT302664.2445I
Telephone (508) 398-2231, ext. l24l
Fax (508) 7 60-34'72
AFFIDAVIT
Residential Property Not Offered for Re
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6u). am the owner of the 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 ofl'ered for
rent.
I am fully aware that according to the regulations ofthe Yarmouth Health Dcpartmcnt,
any residential property that is offered for rent or lease must be registered, and a Rental
Occupancy Ccrtificatc must be issued.
Therefore, I understand that if I decide to offer my residential prope(y for rent in the
future. I must adhere to the lollowing steps:. Register with the Yarmouth Health Department.o Obtain a Rental Occupancy Certificate in accordance with Chapter 108 ofthe
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 i
Owner(s) Signature
se to offer my property lor rent in the future.
Please retum this affidavit to the Yarmouth Health Department at the following address
Yamrouth Health Department I 146 Route 28 South Yamrouth, MA,.02664
Or email: sprovos@yarmouth.ma.us
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Dale:
Owner's Name:
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