Sworn Statement of Principal Residency (Short-Term Rental)

Ann Arbor short-term rental license applicants use this form to affirm that the rental dwelling is their principal residence and acknowledge related license responsibilities.

What this form is

This statement records a principal resident’s affirmation that the dwelling is their permanent home and will remain their principal residence while any Ann Arbor short-term rental license is issued. It also asks the signer to acknowledge occupancy limits, notification responsibilities, and possible consequences of misrepresentation or noncompliance. The form includes spaces for the dwelling address, resident’s name, signature, and date.

Who needs it

A principal resident seeking an Ann Arbor short-term rental license should complete this statement about the dwelling used as their principal residence.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form has no notary block; the principal resident signs and dates it and swears or affirms that its information is true.

How to submit this form

1
Download The Form
Download the Sworn Statement of Principal Residency PDF.
2
Complete The Statement
Enter the dwelling address and principal resident’s name, then sign and date the form.
3
Review Your Affirmation
Review the statements about principal residence, occupancy limits, and license responsibilities before signing.
4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the principal residency statement confirm?: The signer affirms that the dwelling is their true, fixed, permanent home and will remain their principal residence while they hold an Ann Arbor short-term rental license.
Do I need a notary for the Sworn Statement of Principal Residency?: No. The form has no notary block; the principal resident signs and dates it and swears or affirms that its information is true.
How do I submit the statement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Sworn Statement of Principal Residency (Short-Term Rental) doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.