Manchester, MI · Washtenaw County

No notary required

Homeowner Affidavit

Homeowners acting as general contractor for their own single-family residence use this affidavit to acknowledge responsibilities associated with holding the building permit.

What this form is

This affidavit explains that a homeowner may act as general contractor when building their own single-family residence for their own use, and describes responsibilities tied to holding the permit. The homeowner prints their name, signs, and dates the form to confirm they have read and understand the information. The form includes spaces for the project address and permit number.

Who needs it

A homeowner acting as general contractor and permit holder for their own single-family residence should complete this affidavit.

How to submit it

The form lists the Western Washtenaw Construction Authority Building and Trade Permits and Inspections at 912 City Rd., Manchester, MI 48158, and provides an email and fax number.

About notarization

This document is signed without a notary; the homeowner simply prints their name, signs, and dates it, with no notarized or sworn attachment mentioned.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Homeowner Affidavit PDF.

  2. 2

    Complete The Form

    Enter the project address and permit number, then print your name, sign, and date the affidavit.

  3. 3

    Review The Responsibilities

    Read the information about the homeowner’s responsibilities as permit holder and general contractor.

  4. 4

    Submit The Affidavit

    Use the Western Washtenaw Construction Authority contact information printed on the form.

Frequently asked questions

Who should complete the Homeowner Affidavit?
A homeowner acting as general contractor and permit holder for their own single-family residence should complete the affidavit and acknowledge the responsibilities described.
What information does the affidavit ask for?
The form has spaces for the project address and permit number, as well as the homeowner’s printed name, signature, and date.
Do I need a notary for the Homeowner Affidavit?
No. The affidavit has no notary block; the homeowner prints their name, signs, and dates it. The document mentions no notarized or sworn attachment.
How do I submit the Homeowner Affidavit?
The form lists the Western Washtenaw Construction Authority Building and Trade Permits and Inspections address, email, and fax. Contact the authority using the details printed on the form.

Need something notarized?

This Homeowner Affidavit doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.