Palmdale, CA · Los Angeles County
Mailing Label Certification
Property owners or representatives complete this certification to confirm an attached property owners list for a Palmdale planning or development entitlement.
What this form is
This form certifies that an attached property owners list contains names and addresses from the latest available equalized assessment roll of Los Angeles County. It applies to the subject property and parcels within the required radius of its boundary, as required by the entitlement. The signer provides case numbers, personal or company details, a signature, and a date, and certifies under penalty of perjury.
Who needs it
A person submitting an entitlement-related property owners list for a Palmdale planning or development case completes and signs this certification.
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 under penalty of perjury and signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Mailing Label Certification PDF.
- 2
Complete The Certification
Enter the case number or numbers, date, name, title, company, address, city, state, ZIP code, and phone number.
- 3
Gather The Attachment
Attach the property owners list for the subject property and parcels within the required radius.
- 4
Sign And Submit
Sign and date the certification, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Mailing Label Certification?
- No. The form is signed without a notary, but the signer certifies under penalty of perjury and must sign and date it.
- How do I submit the Mailing Label Certification?
- Submit it to the city department named on the form; check the city website for current contact details.
- What must accompany the certification?
- Attach the property owners list. The certification states that the list contains names and addresses from the latest available equalized assessment roll for the subject property and required-radius parcels.
Need something notarized?
This Mailing Label Certification doesn’t need a notary — but if you have another Palmdale form that does, a commissioned online notary can help.