Belvedere, CA · Marin County
Affidavit Regarding Occupancy of Units
A notarized affidavit certifying that dwelling units affected by a Belvedere Senate Bill 9 project have not been rented within the last three to five years.
- California-licensed notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
When an SB 9 two-unit development or lot split in Belvedere would alter or demolish an existing dwelling, state law requires the owner to certify that the unit was not rented within the past three years (five years if it will be demolished) and that no rent-control withdrawal rights were exercised on the property in the last 15 years. Belvedere's affidavit carries a full California notary acknowledgment, so it must be signed before a notary public.
Who needs it
Belvedere property owners pursuing an SB 9 two-unit development or lot split that alters or demolishes an existing dwelling unit on the property.
Why it needs a notary
The form includes a California notary acknowledgment block beneath the owner's signature, requiring the affidavit to be signed before a notary public.
How to get this notarized
- 1
Download the Affidavit
Get the Affidavit Regarding Occupancy of Units from Belvedere's Planning & Building Department.
- 2
Fill in Property and Application Details
Enter the owner name, property address, APN, and application type.
- 3
Book an Online Notary Session
Schedule a short remote notarization appointment with Rush Notary.
- 4
Verify ID and Sign on Video
Complete ID verification and sign the affidavit live with the notary.
- 5
Submit to Belvedere Planning & Building
Deliver the notarized affidavit with your SB 9 application.
Preview the form
The blank PDF straight from Belvedere. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed California online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get this affidavit notarized online?
- Fill in the property and application details, then sign the affidavit during a live video session with an online notary who verifies your ID and witnesses the signature.
- Do I need this notarized for my SB 9 application?
- Yes, whenever the project would alter or demolish an existing unit, unless you instead submit a five-year occupancy history; Belvedere's version requires a notary acknowledgment.
- What am I certifying in this affidavit?
- That the affected dwelling unit(s) were not rented in the past three years (five if being demolished), and that you have not withdrawn units from rent under the Ellis Act in the last 15 years.
- Can an online notary commissioned outside California notarize this?
- California Civil Code §1189(b) recognizes acknowledgments performed under another state's notary law; check with Belvedere Planning & Building if you're unsure.
- What if the City wants to verify my statements?
- The form states Belvedere may take any action it deems necessary to verify the accuracy of the affidavit, including contacting relevant third parties.