Beverly Hills, CA · Los Angeles County
Mailing List Affidavit
This affidavit certifies ownership and, when required, occupant mailing lists submitted with an application for property within a described area.
What this form is
The signer certifies that the attached Ownership List includes assessed property owners within the area and distance described on the attached application. If required by that application, the signer also certifies that the attached Occupants List includes non-owner-occupied residential addresses in the specified area. The affidavit includes spaces for the signer’s name, signature, date, and distance.
Who needs it
Applicants whose application requires ownership or occupant lists for properties within a specified area need to complete this affidavit.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer certifies the statements under penalty of perjury and signs and dates the affidavit.
How to submit this form
- 1
Download The Affidavit
Download the Mailing List Affidavit PDF.
- 2
Complete The Affidavit
Enter the signer’s name and the distance requested, then sign and date the certification.
- 3
Gather The Attachments
Attach the Ownership List and the application; include an Occupants List if required by the application.
- 4
Submit To The City
Submit the affidavit and attachments to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Mailing List Affidavit certify?
- It certifies that the attached Ownership List reflects assessed property owners in the area described on the application and, if required, that the Occupants List reflects specified non-owner-occupied residences.
- Who completes this affidavit?
- The person certifying the attached lists completes and signs it. The form relates to an attached application and lists of owners and, when required, occupants.
- Do I need a notary for the Mailing List Affidavit?
- No. The document has no notary block; the signer certifies the statements under penalty of perjury and signs and dates it.
- How do I submit the Mailing List Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Mailing List Affidavit doesn’t need a notary — but if you have another Beverly Hills form that does, a commissioned online notary can help.