Berkeley, CA · Alameda County
Middle Housing Project Prior Tenancy Attestation Form
Property owners submit this attestation with a Berkeley Middle Housing Project application that includes demolition and renovation or reconstruction of a dwelling unit.
What this form is
This form is a written affidavit about the prior tenancy of units on a property proposed for a Middle Housing Project. Berkeley requires it only when the project includes demolition and renovation or reconstruction of a dwelling unit, and it must accompany the project application; the owner attests to the units’ occupancy history and the property’s rental-withdrawal history.
Who needs it
The current owner of record needs this form when applying for a Middle Housing Project that includes demolition and renovation or reconstruction of a dwelling unit.
How to submit it
Submit the completed form with the Middle Housing Project application to Planning and Development, 1947 Center St, 2nd Floor, Berkeley, CA 94704.
About notarization
This document is signed and dated without a notary; the signer declares the affidavit true under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Middle Housing Project Prior Tenancy Attestation Form.
- 2
Complete The Attestation
Enter the requested owner, property, application, and date information, then attest to the stated tenancy and rental-withdrawal history.
- 3
Sign And Date
Sign and date the affidavit and provide the city where it was executed.
- 4
Submit With Your Application
Include the completed form with the Middle Housing Project application and submit it to Planning and Development.
Frequently asked questions
- What is the Middle Housing Project Prior Tenancy Attestation Form?
- It is an affidavit in which the current property owner attests to the units’ prior occupancy and the property’s rental-withdrawal history for a Middle Housing Project.
- When must I submit this form?
- Berkeley requires it only when the proposed Middle Housing Project includes demolition and renovation or reconstruction of a dwelling unit. It must accompany the project application.
- Do I need a notary for the Middle Housing Project Prior Tenancy Attestation Form?
- No. The form is signed and dated without a notary; the signer declares the affidavit true under penalty of perjury.
- How do I submit the Middle Housing Project Prior Tenancy Attestation Form?
- Submit it with the Middle Housing Project application to Planning and Development at 1947 Center St, 2nd Floor, Berkeley, CA 94704.
Need something notarized?
This Middle Housing Project Prior Tenancy Attestation Form doesn’t need a notary — but if you have another Berkeley form that does, a commissioned online notary can help.