Sellersburg, IN · Clark County

Homeowner Permit Certification Statement – Building

This statement certifies a homeowner’s occupancy and responsibility for building work and is filed by an owner or agent applying for a Sellersburg building permit.

At a glance

Issued by
City of Sellersburg · Sellersburg, Clark County, Indiana
Notarization
Required: sign this form in front of a notary before filing it.
Official source
sellersburg.org
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index
Standard form~15 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 statement certifies that the applicant owns the property, lives there or will live there after the work, and that the home is not for sale. It also affirms that the owner-occupant will perform the construction work and acknowledges the need to comply with the stated residential code and obtain inspections, including a final inspection. Sellersburg requires the statement to be notarized and recorded with the Clark County Recorder’s office.

Who needs it

A property owner or agent applying for a Sellersburg building permit needs this statement to certify the owner’s occupancy and responsibility for the construction work.

Why it needs a notary

The form contains a subscribed-and-sworn-to-or-affirmed jurat; the owner or agent signs the statement before the notary public.

How to get this notarized

  1. 1

    Download the Statement

    Get the Homeowner Permit Certification Statement – Building from the Town of Sellersburg.

  2. 2

    Fill In the Form

    Provide the property location and owner information, then review the occupancy and construction-work certifications.

  3. 3

    Book an Online Notary

    Arrange an appointment with a commissioned online notary before signing.

  4. 4

    Sign on Video

    Sign and swear or affirm to the statement during the online notarization.

  5. 5

    Submit for Recording

    Follow the form’s direction to record the notarized statement with the Clark County Recorder’s office.

Preview the form

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

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Info

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 the Sellersburg homeowner permit statement?
Enter the property location and owner information, review the certification, then sign before a notary. The form says it must be recorded with the Clark County Recorder’s office.
Do I need to sign this form in front of a notary?
Yes. The form includes a subscribed-and-sworn-to-or-affirmed jurat and states that the document must be notarized.
Can I use a commissioned online notary?
Indiana authorizes its notaries to perform remote notarizations with a remote notary public endorsement; IC 33-42-9-8 recognizes certain notarial acts performed by another state’s authorized officer. Confirm with the city or town if unsure.
Where do I submit the notarized statement?
The form says to record it with the Clark County Recorder’s office. Ask the town about any permit-submission steps; recorder documents may be e-recorded where supported, usually through a title company.

Ready to notarize your Homeowner Permit Certification Statement – Building?

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