Midfield, AL · Jefferson County
Solid Waste Fee Exemption Affidavit and Application
This affidavit and application lets a Midfield household request exemption from solid waste collection and disposal fees by swearing to its income eligibility and submitting the required supporting tax documentation.
At a glance
- Issued by
- City of Midfield · Midfield, Jefferson County, Alabama
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- cityofmidfield.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to apply for exemption from solid waste collection and disposal fees for a stated period. The applicant swears that household income is limited to Social Security or Supplemental Security Income benefits and certifies that the household meets the form’s other eligibility conditions. The form says to apply annually before January 1 and attach the previous year’s federal tax form or equivalent. The exemption takes effect only after written approval by an authorized City of Midfield officer.
Who needs it
A Midfield resident seeking a solid waste fee exemption for a household whose sole source of income is Social Security or Supplemental Security Income benefits should submit this application.
How to get this notarized
- 1
Get the Application
Download the City of Midfield’s affidavit and application for solid waste fee exemption.
- 2
Complete the Affidavit
Enter your information and the requested exemption period, and review the income certifications.
- 3
Gather Tax Documentation
Attach the previous year’s federal tax form or equivalent, as the application directs.
- 4
Book an Online Notary
Arrange a commissioned online notary and confirm with Midfield that it accepts a remotely notarized affidavit.
- 5
Sign Under Oath
Sign and swear to the affidavit during the notary session; do not sign it beforehand.
- 6
Submit to the City
Submit the completed application and attachment to the City of Midfield for review and written approval.
Preview the form
The blank PDF straight from Midfield. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I apply for the solid waste fee exemption?
- Complete the affidavit, attach the previous year’s federal tax form or equivalent, and apply annually before January 1. The exemption is not effective until a duly authorized Midfield officer approves it in writing.
- Do I need to sign this form in front of a notary?
- Yes. The form states that the applicant must verify income through a notarized and sworn statement. Sign and swear to the affidavit before the notary.
- Can I use a commissioned online notary?
- The form requires a sworn statement before a notary. Alabama’s remote-notarization statute requires the notary to be physically in Alabama; ask Midfield whether it accepts this affidavit notarized online. Confirm with the city or town if unsure.
- What income qualifies for this exemption?
- The form says the household’s sole source of income must be Social Security or Supplemental Security Income benefits. It also requires the applicant to certify that household members do not receive the other listed income or benefits.