Berkeley, CA · Alameda County
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
Download The Form
Download the SB 9 Owner Attestation Form for an urban lot split.
- 2
Complete The Affidavit
Enter the owner's name, property location, application date, and intended occupancy information.
- 3
Sign And Date
Sign and date the affidavit declaring that its statements are true under penalty of perjury.
- 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.
