St. Louis, MI · Gratiot County

Utility Waiver of Lien Privilege Affidavit

This affidavit records rental, tenant, and landlord information for the City of St. Louis utility lien privilege waiver policy, and is completed by landlords and tenants for a rental property.

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 affidavit identifies the rental property, tenant, landlord, tenancy dates, and who owns the security deposit. It states that the landlord must notify City of St. Louis billing staff in writing within 20 days after the named tenant’s tenancy ends; the form also says incomplete or incorrect information can make the cited benefits unavailable. City processing fields record the security deposit and lease review.

Who needs it

Landlords and tenants named on a St. Louis rental property affidavit complete it with the rental, contact, tenancy, and security deposit information requested.

Why it needs a notary

The form has a state jurat stating the affiants affirmed or swore under oath before a notary; the named landlord(s) and tenant(s) sign the affidavit.

How to get this notarized

  1. 1

    Download The Affidavit

    Download the City of St. Louis Utility Waiver of Lien Privilege Affidavit.

  2. 2

    Fill In The Rental Details

    Enter the rental address, property tax ID, tenant and landlord information, tenancy dates, and security deposit ownership.

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary for the affidavit’s oath or affirmation.

  4. 4

    Sign On Video

    The affiants sign and affirm or swear to the information before the notary during the online session.

  5. 5

    Submit To The City

    Submit the completed affidavit to the City of St. Louis and follow its instructions.

Preview the form

The blank PDF straight from St. Louis. 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

Who signs the Utility Waiver of Lien Privilege Affidavit?
The form provides signature lines for landlord(s) and tenant(s), and its notarial block identifies the affiants who affirm or swear that the information is true and correct.
Do I need to notify the city when a tenancy ends?
The affidavit says the landlord is responsible for notifying City of St. Louis billing staff in writing within 20 days after the named tenant’s tenancy terminates.
How do I get this affidavit notarized online?
Complete the form, then book a session with a commissioned online notary. Michigan authorizes remote electronic notarization by its notaries under the Michigan Law on Notarial Acts, MCL 55.261 et seq.; MCL 55.285a addresses the effect in Michigan of qualifying out-of-state notarial acts. Confirm with the city, village or township if unsure.
What information should I have ready?
The form requests the rental address, property tax ID, tenant and landlord contact information, driver’s license numbers, tenancy dates, and whether the security deposit belongs to the tenant(s) or landlord(s).

Ready to notarize your Utility Waiver of Lien Privilege Affidavit?

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