HomeMy WebLinkAbout43 Webster Rd Affidavit Not Offered for Rent 08.03.25TOWN OF YARMOUTH #lealthf
1146 ROUTE 28, SOUTH YARMOUTH, NIASSACHUSE'rrS02664-24451 Health
Telephone (508) 398-2231, ext. 1241 Division
Fax (508) 760-3472
AFFIDAVIT
Residential Property Not Offered for Rent
Date
Owner's Name:
Address:
City/State/ZIP:
Phone/Email: !
Yarmouth Property Address:
Address:
City/State/ZIP:
i,� , am the owner of the above -referenced
pra , as verified by the Town of Yarmouth Tax Records. I hereby confinn that the
dwelling/unit/apartment mentioned above is not currently rented or is being offered for
rent.
I am fully aware that according to the regulations of the Yarmouth I lealth 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 Certificate in accordance with Chapter 108 of the
Occupancy of Buildings regulations. A rental inspection may be required.
By signing below, I acknowledge my understanding of the§ ments and commit to
complying with them when and if too y prop y for rent in the future.
Owner(s) Sign, nre:
Please return this affidavit to the Yarmouth Health Department at the following address:
Yarmouth Health Department 1146 Route 28 South Yarmouth, MA. 02664
Or email: sprovos@yarmouth.ma.us