Yavapai County, AZ · Yavapai County

No notary required

District Impact Statement for Boundary Change

This form documents the effects of a proposed district boundary change and is completed by the person requesting the change.

At a glance

Issued by
City of Yavapai County · Yavapai County, Yavapai County, Arizona
Notarization
Not required: file this form without a notary.
Official source
yavapaiaz.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The statement describes a proposed change to a district’s boundaries and provides information about assessed valuation, estimated tax-rate changes, property-tax liability, benefits, and possible injuries. The person requesting the change also supplies Exhibit A, a legal description of the boundary, and Exhibit B, a detailed map of the area to be included.

Who needs it

The person requesting a boundary change for a district completes this statement and provides the required boundary description and map.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This document is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the District Impact Statement for the proposed district boundary change.

  2. 2

    Complete the Statement

    Enter the district and boundary-change details, valuation and tax estimates, and expected benefits and injuries.

  3. 3

    Gather the Exhibits

    Attach Exhibit A with the legal boundary description and Exhibit B with a detailed map of the area.

  4. 4

    Sign and Submit

    Sign and date the statement, then submit it to the county department named on the form.

Frequently asked questions

What does the District Impact Statement cover?
It describes a proposed district boundary change, including estimated assessed valuation, tax-rate changes, typical property-tax liability, benefits, and possible injuries.
What attachments go with this statement?
The form calls for Exhibit A, a legal description of the boundary change, and Exhibit B, a detailed, accurate map of the area to be included.
Do I need a notary for the District Impact Statement?
No. This document is signed and dated without a notary; the signer just signs and dates it.
How do I submit the District Impact Statement?
Submit it to the county department named on the form; check the county website for current contact details.

Need something notarized?

This District Impact Statement for Boundary Change doesn’t need a notary, but if you have another Yavapai County form that does, a commissioned online notary can help.