Mendota, IL · LaSalle County
Homeowner’s Affidavit
Mendota homeowners complete this affidavit to certify property ownership, primary residence, and responsibility for work covered by a building permit.
What this form is
This affidavit records a homeowner’s certification that the property is their primary residence and that they will perform the work related to the building permit. It also states that the homeowner will notify the City Clerk’s Office if they hire a contractor and will use a city-registered contractor. The form asks for the owner’s printed name, signature, property address, phone number, and date.
Who needs it
A homeowner applying for a building permit for their primary residence who plans to perform the permitted work needs this affidavit.
How to submit it
Submit the completed form to the Mendota City Clerk’s Office at 800 Washington St., Mendota, IL 61342.
About notarization
This document is signed without a notary; the homeowner signs and dates the form.
How to submit this form
- 1
Download The Affidavit
Download the Homeowner’s Affidavit PDF.
- 2
Complete The Form
Enter the homeowner’s name, property address, phone number, and date.
- 3
Sign The Affidavit
Print the owner’s name and sign the form.
- 4
Submit To The City
Submit the completed affidavit to the Mendota City Clerk’s Office at 800 Washington St.
Frequently asked questions
- What does the Homeowner’s Affidavit certify?
- The homeowner certifies that they own the property, it is their primary residence, and they will perform the work related to the building permit.
- Who should complete this form?
- The form is for a homeowner who is responsible for work covered by a building permit and does not intend to hire contractors.
- Do I need a notary for the Homeowner’s Affidavit?
- No. This document is signed without a notary; the homeowner signs and dates the form.
- How do I submit the Homeowner’s Affidavit?
- Submit the completed form to the Mendota City Clerk’s Office at 800 Washington St., Mendota, IL 61342.
Need something notarized?
This Homeowner’s Affidavit doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.