Oakley, CA · Contra Costa County

No notary required

Rental Application And Property Use Verification Affidavit

Oakley property owners use this application to report rental status or verify that a property is owner-occupied, sold, or occupied by an eligible family member.

What this form is

This affidavit verifies a property's status for Oakley's Residential Rental Inspection Program, which requires registration of rental properties. Owners select the option that applies and provide requested details, such as a sale date or an eligible family member's name and relationship. Owner-occupants must attach a recent utility bill; rental properties have a stated $108 registration fee.

Who needs it

Oakley property owners must submit this form to report rental status or verify a sale, owner occupancy, or occupancy by an eligible immediate family member.

How to submit it

Return the signed affidavit to 3231 Main Street, Oakley, CA 94561, or email all forms to [email protected]. The form lists a $108 rental registration fee and payment by check or credit card authorization.

About notarization

This document is signed without a notary; the signer declares under penalty of perjury that the statements are true, and owner-occupants attach a recent utility bill.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Rental Application And Property Use Verification Affidavit.

  2. 2

    Complete The Form

    Print clearly, select one property status, and provide the requested owner and property information.

  3. 3

    Gather Required Documents

    If you report owner occupancy, attach a copy of your most recent utility bill.

  4. 4

    Submit The Form

    Return the signed affidavit to the address on the form or email all forms to the listed rental inspections email.

Frequently asked questions

Do I need a notary for the Rental Application And Property Use Verification Affidavit?
No. The form has no notary block; the signer signs and dates a declaration under penalty of perjury. Owner-occupants must attach a recent utility bill.
How do I submit the rental application?
Return the signed affidavit to 3231 Main Street, Oakley, CA 94561, or email all forms to [email protected]. The form lists a $108 fee for rental registration.
What should I attach if I occupy the property?
Attach a copy of your most recent utility bill. The form says the bill must be in the owner's name and show the property address as the service address.
Who may report that a property is occupied by family?
The form lists an immediate family member as a father, mother, son, or daughter. It asks the owner to provide that family member's name and relationship.

Need something notarized?

This Rental Application And Property Use Verification Affidavit doesn’t need a notary — but if you have another Oakley form that does, a commissioned online notary can help.