Belvedere, CA · Marin County

Affidavit to Occupy After Lot Split

A notarized affidavit in which a Belvedere property owner swears to occupy one of the units created by a Senate Bill 9 lot split as their principal residence for at least three years.

Standard form~15 min to notarize
  • 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

Property owners who split a lot under California Senate Bill 9 must confirm to the City of Belvedere, under penalty of perjury, that they intend to live in one of the resulting units as their principal residence for at least three years from approval. Belvedere's version of this affidavit includes a full California notary acknowledgment certificate, so the owner's signature must be witnessed and sealed by a notary public before the city will accept it.

Who needs it

Belvedere property owners who have applied to split a lot under Government Code Section 66411.7 (SB 9) and must certify their intent to occupy one of the new units.

Why it needs a notary

The form itself contains a California notary acknowledgment block directly beneath the owner's signature, requiring the affidavit to be signed before a notary public.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Affidavit to Occupy After Lot Split from Belvedere's Planning & Building Department.

  2. 2

    Fill in Your Property Details

    Enter the owner name, property address, and Assessor's Parcel Number.

  3. 3

    Book an Online Notary Session

    Schedule a short remote notarization appointment with Rush Notary.

  4. 4

    Verify ID and Sign on Video

    Complete ID verification and sign the affidavit live with the notary.

  5. 5

    Submit to Belvedere Planning & Building

    Deliver the notarized affidavit with your SB 9 lot split application.

Preview the form

The blank PDF straight from Belvedere. Look it over, then upload your filled copy to start the notary session.

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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 the SB 9 occupancy affidavit notarized?
Fill in your name, property address, and APN, 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 to complete my lot split?
Yes. Belvedere's form includes a California notary acknowledgment block, so the city requires the owner's signature to be notarized before accepting the affidavit.
What does the affidavit require me to promise?
That you will occupy one of the units on the split property as your principal residence for at least three years from the date Belvedere approves the lot split.
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 happens if the information in the affidavit is false?
The form is signed under penalty of perjury under California law, so false statements can carry criminal penalties.

Ready to notarize your Affidavit to Occupy After Lot Split?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.