Washington, IL · Tazewell County

Commercial Business Owner Affidavit

This affidavit lets an eligible commercial business owner request an opt-out from Washington’s waste and refuse service by swearing to residential occupancy and business ownership.

Simple form~10 min to notarize
  • licensed online 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

The affidavit states that the signer occupies a residential unit within Washington and owns at least 33.33% of a commercial business in the city that subscribes to the waste and refuse contractor’s service. The form says supporting evidence must accompany the affidavit, the City Administrator must be notified within 30 days if the owner no longer qualifies, and the election requires renewal. Because this copy is dated 2020, check with the city about current requirements and versions.

Who needs it

A Washington commercial business owner who occupies a residential unit in the city and owns at least 33.33% of a qualifying business may use this affidavit to request an opt-out.

Why it needs a notary

The form has a sworn-and-subscribed-before-me jurat; the affiant signs and swears or affirms the statements before the notary.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the Commercial Business Owner Affidavit from the City of Washington and check with the city about the current form.

  2. 2

    Complete The Form

    Enter the requested information and gather evidence of residential occupancy, business ownership, and waste-service subscription.

  3. 3

    Book An Online Notary

    Arrange a remote appointment with a commissioned online notary for the affidavit’s jurat.

  4. 4

    Sign On Video

    Sign and swear or affirm the affidavit during the notarial video session.

  5. 5

    Submit To The City

    Send the notarized affidavit and supporting evidence to the City of Washington using its accepted submission method.

Preview the form

The blank PDF straight from Washington. 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 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 complete and submit this affidavit?
Provide the requested information and supporting evidence, sign and swear or affirm before a notary, then submit the affidavit to the City of Washington. Check with the city about its current submission process.
Do I need to sign this affidavit in front of a notary?
Yes. The form includes a jurat stating it is sworn to and subscribed before a notary, so sign and take the oath or affirmation during the notarial appointment.
Can I use an online notary for this form?
Illinois authorizes electronic and remote notarization by a commissioned online notary and recognizes notarial acts performed outside Illinois by an officer authorized where the act occurs. Confirm with the city or village if unsure.
Is the 2020 form still current?
This copy is dated 2020 and includes election and renewal dates from that year. Contact the City of Washington to ask whether it accepts this version or requires an updated form.

Ready to notarize your Commercial Business Owner Affidavit?

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