Darmstadt, IN · Vanderburgh County
Affidavit of Eligibility for Sewer Rate for Unmetered Well Water Users
This annual sworn affidavit is for Darmstadt homeowners seeking the discounted sewer rate for a single-family home served only by a private well and occupied by no more than two people.
- 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 asks the homeowner to attest to the property’s well-water service and occupancy, and to request discounted well-user billing under Darmstadt Municipal Code Chapter 51. The Town requires it by December 15 each year to apply for the discounted rate beginning the next year. The homeowner also agrees to notify the Sewer Superintendent in writing within 15 days if occupancy rises above two people during the four-year affidavit period.
Who needs it
A Darmstadt homeowner who lives at a single-family property served only by a private well and occupied by no more than two people may submit this affidavit annually.
Why it needs a notary
The form has a jurat stating it was subscribed and sworn before a Notary Public; the homeowner signs the affidavit under oath before the notary.
How to get this notarized
- 1
Download the Affidavit
Get the annual Affidavit of Eligibility for Sewer Rate for Unmetered Well Water Users from the Town of Darmstadt.
- 2
Complete the Property Details
Enter the property address and other requested information, and review the eligibility statements before signing.
- 3
Book an Online Notary
Arrange a remote notarization session with a commissioned online notary.
- 4
- 5
Submit It to the Town
Submit the notarized affidavit to the Town by December 15 to request the discounted rate for the following year.
Preview the form
The blank PDF straight from Darmstadt. Look it over, then upload your filled copy to start the notary session.
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 apply for the discounted well-user rate?
- Complete the affidavit, sign it under oath before a notary, and submit it to the Town by December 15 to request the discounted rate for the following year.
- Do I need to notarize this affidavit?
- Yes. The form includes a jurat and says the homeowner’s statements are sworn and affirmed under penalties of perjury.
- Can I sign the affidavit with an online notary?
- Indiana permits remote online notarization by a commissioned online notary. Confirm with the city or town if unsure whether it will accept the remotely notarized affidavit.
- What if more than two people live at the property?
- The affidavit says you must notify the Sewer Superintendent in writing within 15 days of an occupancy change. The affidavit will be automatically revoked, and the standard well-user flat rate will apply.