Sellersburg, IN · Clark County

Homeowner Permit Certification Statement – Electrical

This statement certifies that the property owner will perform electrical work at their residence and is filed by a homeowner applying for an electrical permit in Sellersburg.

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 signer owns and lives in the property, or will live there when the work is complete, and that the home is not for sale. It also affirms that the owner will perform the electrical work and obtain required inspections, including a final inspection. The form says it must be notarized and recorded with the Clark County Recorder’s office.

Who needs it

A homeowner applying for an electrical permit in Sellersburg needs this statement to certify that they will perform the work at their residence.

Why it needs a notary

The form carries a “Subscribed and Sworn to (or affirmed) before me” jurat, and the owner or agent signs the statement before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Homeowner Permit Certification Statement for electrical work from the Town of Sellersburg.

  2. 2

    Fill In the Details

    Enter the property location and owner name, and review the certifications about occupancy, electrical work, and inspections.

  3. 3

    Book an Online Notary

    Arrange a remote notarization with a commissioned online notary before signing.

  4. 4

    Sign on Video

    Sign the statement during the online notary session and complete the jurat.

  5. 5

    Submit and Record

    Submit the notarized statement for the Sellersburg permit process and arrange recording 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 and file this electrical permit statement?
Complete the property and owner information, sign before a notary, then submit the statement for the permit process and recording with the Clark County Recorder’s office.
Do I need to sign the form in front of a notary?
Yes. The form says it must be notarized and includes a jurat for the owner or agent to sign before the notary.
Can I use a commissioned online notary?
Indiana authorizes remote online notarization by a commissioned online notary, and recognizes notarial acts by notaries or other authorized officers of another state.
How can I record the notarized statement?
The form says to record it with the Clark County Recorder’s office. Where supported, recording may be handled through e-recording, usually via a title company; confirm with the city or town if unsure.

Ready to notarize your Homeowner Permit Certification Statement – Electrical?

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