Berkeley, CA · Alameda County

No notary required

SB 9 Owner Attestation Form

Berkeley property owners complete this affidavit and submit it with an urban lot split application to attest to their intent to occupy a dwelling on the property.

What this form is

This affidavit is required with an application for an urban lot split under SB 9. The property owner provides their name, property location, application date, and intended occupancy, then declares the information true under penalty of perjury. The owner attests to occupying one dwelling unit as their principal residence for at least three years after parcel map approval.

Who needs it

The current owner of record must complete this form when submitting an application to subdivide property through an urban lot split.

How to submit it

Submit it with the urban lot split application to the Planning and Development Department; the form lists 1947 Center St, 2nd Floor, Berkeley, CA 94704.

About notarization

This form does not require a notary; the owner signs and dates an affidavit declaring its statements true under penalty of perjury.

How to submit this form

  1. 1

    Download The Form

    Download the SB 9 Owner Attestation Form for an urban lot split.

  2. 2

    Complete The Affidavit

    Enter the owner's name, property location, application date, and intended occupancy information.

  3. 3

    Sign And Date

    Sign and date the affidavit declaring that its statements are true under penalty of perjury.

  4. 4

    Submit With The Application

    Submit the form with the urban lot split application to Planning and Development.

Frequently asked questions

Do I need a notary for the SB 9 Owner Attestation Form?
No. The owner signs and dates the affidavit, declaring its statements true under penalty of perjury; the form does not require a notary.
Who completes the SB 9 Owner Attestation Form?
The current owner of record completes the affidavit for an urban lot split application.
How do I submit the SB 9 Owner Attestation Form?
Submit it with the urban lot split application to Berkeley's Planning and Development Department. The form lists its address at 1947 Center St, 2nd Floor, Berkeley, CA 94704.

Need something notarized?

This SB 9 Owner Attestation Form doesn’t need a notary — but if you have another Berkeley form that does, a commissioned online notary can help.