Grass Valley, CA · Nevada County
Applicant/Owner Information Form
This form collects ownership, applicant, and financial-interest details for people and entities involved in a Grass Valley commercial cannabis screening application.
What this form is
The form gathers information for commercial cannabis screening, with separate sections for entity owners, individual owners, applicants, and non-owners with a financial interest. Complete the sections that apply to each person or entity and answer the declarations about other cannabis business interests, licensing history, convictions, and unpaid taxes or fees. It also requests a copy of valid government-issued identification and a signed affirmation.
Who needs it
Each owner, applicant, entity owner, and non-owner with a financial interest in the commercial cannabis business must complete the applicable sections.
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; it includes an affirmation under penalty of perjury, and the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Applicant/Owner Information Form for the commercial cannabis screening application.
- 2
Complete Applicable Sections
Complete the sections for each owner, applicant, entity owner, or non-owner with a financial interest. A separate form is required for each individual.
- 3
Gather Required Identification
Include a copy of currently valid government-issued identification.
- 4
Sign And Date
Sign and date the affirmation declaring that the submitted information is complete, true, and accurate.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Applicant/Owner Information Form for?
- It collects information from people and entities involved in a commercial cannabis screening application, including ownership details, declarations, and a copy of valid government-issued identification.
- Who needs to complete this form?
- Each owner, applicant, entity owner, and non-owner with a financial interest must complete the sections that apply. The form says a separate form is required for each individual.
- Do I need a notary for the Applicant/Owner Information Form?
- No. The form is signed without a notary. It includes an affirmation under penalty of perjury, and the signer just signs and dates it.
- How do I submit the Applicant/Owner Information Form?
- The form does not state where to submit it. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Applicant/Owner Information Form doesn’t need a notary — but if you have another Grass Valley form that does, a commissioned online notary can help.