Yavapai County, AZ · Yavapai County
District Impact Statement for Formation
Organizing board members complete this impact statement to provide information about a proposed district’s formation in Yavapai County.
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
This statement provides information about a proposed district, including its boundaries, estimated assessed valuation, tax-rate change, property-tax effects, benefits, and potential injuries. It also asks for organizing board members’ names and details about services, expenditures, personnel, and service enhancements during the first five years. Attach a legal description and a map of the proposed district.
Who needs it
Organizing board members preparing an impact statement for the formation of a proposed district in Yavapai County need this form.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed and dated without a notary; it calls for organizing board members’ signatures and attached boundary description and map, with no sworn attachment stated.
How to submit this form
- 1
Download the Form
Download the District Impact Statement for Formation PDF.
- 2
Complete the Statement
Fill in the proposed district’s information, tax estimates, benefits, potential injuries, board details, and five-year service plans.
- 3
Gather the Attachments
Attach the legal description of the proposed district’s boundaries as Exhibit A and a detailed map as Exhibit B.
- 4
Sign and Date
Have the organizing board members sign the statement and enter the date.
- 5
Submit to the County
Submit the completed statement and attachments to the county office named on the form; check the county website for current contact details.
Frequently asked questions
- What is the District Impact Statement for Formation?
- It records details about a proposed district, including boundaries, estimated taxes, benefits, potential injuries, board members, and plans for the first five years.
- What attachments does this form call for?
- The form calls for Exhibit A, a legal description of the proposed district’s boundaries, and Exhibit B, a detailed map of the area to be included.
- Do I need a notary for the District Impact Statement for Formation?
- No. The document has signature lines for organizing board members and a date, but no notary block. The listed attachments are a legal description and map, not sworn statements.
- How do I submit the District Impact Statement for Formation?
- The document does not give submission instructions. Submit it to the county office named on the form; check the county website for current contact details.