HomeMy WebLinkAboutNot Renting Affidavit Received 11.20.2025TOWN OF YARMOUTH Board of
Health
I I46 ROUTE 28. SOUTH YARMOUTH, MASSACHUSETT302664-24451 Hcalth
DivisiouTelephone (508) 398-2231 , exr. l24l
Fax (508) 760-3472
AFFIDAVIT
Residential Property Not Offered for Rent
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Date: 1l 7
Owner's Name
Addrcss:
City/State/ZIP:
Phone/Ernail:
Yarmouth Property Address
Address: 3 Z6
Citv/State/ZIP
, 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 otfered 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 if I decide to offer my residential property for rent in the
future. I must adhere to the lollowing steps:. Register with the Yamrouth Health Department.o Obtain a Rental Occupancy Certificate in accordance with Chapter 108 of the
Occupancy ofBuildings 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 if I choose to offer my property for rent in the future.
Owner(s) Signature:
Please retum this affidavit to the Yarmouth Health Department at the following address
Yarmouth Health Department 1 146 Route 28 South Yarmouth, MA. 02664
Or email: sprovos@yarmouth.ma.us
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