Lowell, MA · Middlesex County
Affidavit of Notice of Mailing to Abutters and Others
This affidavit documents notice mailing for an alcoholic beverages license application and is filed with Lowell’s Licensing Commission by the applicant or another person certifying the notice.
- 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 certifies that the attached list includes owners of abutting properties identified on the Assessor’s most recent valuation list, and identifies any schools, churches, or hospitals within 500 feet of the proposed location. It also certifies that each listed person received the public notice by mail within three days after publication. The form asks for the advertisement and registered-mail receipts with recipients’ signatures to be attached, and is addressed to Lowell’s Licensing Commission.
Who needs it
An applicant for an alcoholic beverages license in Lowell, or a person certifying the mailing on the applicant’s behalf, uses this affidavit for the Licensing Commission.
Why it needs a notary
The form has a notary-public signature and commission-expiration block; the person certifying the notice signs and subscribes under penalties of perjury before the notary.
How to get this notarized
- 1
Download the Affidavit
Get the notice-mailing affidavit and review its fields and attachment instructions.
- 2
Fill In the Details
Enter the proposed location, list abutting owners and nearby institutions, and complete the mailing certification.
- 3
Attach Supporting Records
Attach the advertisement, registered-mail receipts, and signed return receipts.
- 4
Book an Online Notary
Arrange a session with a commissioned online notary before signing.
- 5
Sign on Video
Sign and subscribe the affidavit under penalties of perjury during the remote notary session.
- 6
Submit to the City
Submit the completed affidavit and attachments to Lowell’s Licensing Commission as instructed.
Preview the form
The blank PDF straight from Lowell. 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 complete the notice mailing affidavit?
- List the abutting owners and any schools, churches, or hospitals within 500 feet, certify the mailing, and attach the advertisement and signed return receipts.
- Do I need to sign this affidavit before a notary?
- Yes. The form includes a notary-public and commission-expiration block. Sign and subscribe the affidavit under penalties of perjury before the notary.
- Can I use a commissioned online notary?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024, under G.L. c. 222, §§27–29. Ask the Licensing Commission if it has submission instructions.
- What should I attach to the affidavit?
- The form instructs applicants to attach a copy of the advertisement, registered-mail receipts, and return receipts bearing the signatures of people who received the notice.
- Where do I submit the completed affidavit?
- The form is addressed to Lowell’s Licensing Commission at the Law Department, City Hall. Confirm submission details with the city or town clerk if unsure.