Healdsburg, CA · Sonoma County
SB 9 Affidavit of Intent to Owner-Occupy
A sworn statement required with a Healdsburg SB 9 urban lot split application, confirming the applicant will live in one of the resulting units for at least three 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
California SB 9 lets property owners split a single-family lot into two parcels through a streamlined urban lot split process. Healdsburg requires the applicant to sign this affidavit affirming intent to occupy one of the dwelling units as a principal residence for three years after the parcel map is approved, per Government Code §66411.7. The signed affidavit must be notarized before it is submitted to the Community Development Department.
Who needs it
Homeowners filing an urban lot split application under SB 9 with the City of Healdsburg Planning Division.
Why it needs a notary
The form includes a formal California notary acknowledgment block requiring the signer to appear before a notary who verifies identity under penalty of perjury.
How to get this notarized
- 1
Download the Form
Get the SB 9 Affidavit of Intent to Owner-Occupy from the City of Healdsburg website.
- 2
Fill In Your Details
Enter the property address, APN, and your intended occupancy date.
- 3
Book Online Notary
Schedule a remote online notarization session with Rush Notary.
- 4
Sign on Video
Appear before the notary on a live video call and sign the affidavit.
- 5
Submit to the City
Send the notarized affidavit to Healdsburg's Community Development Department with your urban lot split application.
Preview the form
The blank PDF straight from Healdsburg. 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
- Do I need this form notarized to submit my Healdsburg SB 9 application?
- Yes. The city's affidavit template includes a California notary acknowledgment block, so the Community Development Department expects a notarized signature with the lot split application.
- How do I get my SB 9 affidavit notarized online?
- Book an online notary appointment with Rush Notary, upload the affidavit, and sign in front of the notary on a video call to complete the notarization remotely.
- Who needs to sign the SB 9 owner-occupancy affidavit?
- The property owner applying for a Healdsburg urban lot split who intends to occupy one of the resulting dwelling units as a principal residence.
- Will Healdsburg accept a remotely notarized affidavit?
- California recognizes notarial acts performed under another state's remote online notarization laws; check with the Healdsburg Planning Division if you are unsure before submitting.