Plainfield, IN · Hendricks County

Dedication Statement

The Dedication Statement records an owner’s dedication of streets, public spaces, and easements, and is incorporated into plats submitted for secondary plat approval in Plainfield.

Detailed form~25 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

Plainfield’s form provides the owner’s certification of property ownership and sets out the subdivision name, public dedications, easements, building setbacks, and covenants. The Town says this language is to be incorporated into all plats presented for Secondary Plat Approval. Owners complete the property and subdivision details, sign the statement, and have the appropriate individual or organization acknowledgment completed before submitting the plat for approval.

Who needs it

Property owners or organizations subdividing real estate in Plainfield need this statement incorporated into a plat presented for Secondary Plat Approval.

Why it needs a notary

The form has individual and organization acknowledgment blocks with an oath; the property owner or authorized organization representative signs and acknowledges the instrument before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Dedication Statement from the Town of Plainfield.

  2. 2

    Fill In the Details

    Complete the owner, deed, legal description, subdivision, and applicable covenant information.

  3. 3

    Book an Online Notary

    Schedule a remote notarization for the individual or organization acknowledgment.

  4. 4

    Sign on Video

    Sign and acknowledge the instrument before the notary during your online session.

  5. 5

    Submit to the Town

    Include the completed statement with the plat presented to Plainfield for Secondary Plat Approval.

Preview the form

The blank PDF straight from Plainfield. 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 Dedication Statement?
Enter the owner, deed reference, legal description, subdivision name, and any applicable covenants. Choose the individual or organization acknowledgment, then sign before a notary.
Do I need to sign before a notary?
Yes. The form includes an acknowledgment with an oath for an individual owner or an organization representative. Sign and acknowledge the instrument before the notary.
Can I use an online notary for this form?
Indiana law authorizes remote online notarization by a notary with a remote notary public endorsement under IC 33-42-17; IC 33-42-9-8 recognizes notarial acts by authorized officers of another state. Confirm with the city or town if unsure.
Where do I submit the completed statement?
The form says this language is incorporated into plats presented for Secondary Plat Approval. Submit it with the plat through the Town’s approval process.

Other forms in Plainfield

Ready to notarize your Dedication Statement?

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