Tupelo, MS · Lee County
Authorized Signature Form
This form lets a license holder authorize an employee to sign the City of Tupelo Department of Development Services’ permit and inspection card on the license holder’s behalf.
At a glance
- Issued by
- City of Tupelo · Tupelo, Lee County, Mississippi
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- tupeloms.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- 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 license holder uses this form to name an authorized person and approve that person’s signature on the permit and inspection card for the listed job. The form says the authorized person must be an employee of the license holder, and the City will not issue a permit to that person until it receives email confirmation of approval. If the form is not signed in front of the Department of Development Services, a notarized original must be submitted.
Who needs it
A license holder who wants an employee to sign the City of Tupelo Department of Development Services’ permit and inspection card on their behalf needs this form.
Why it needs a notary
The form carries a Mississippi jurat; the license holder signs the authorization and, if not signing before the Department, swears or affirms it before a notary.
How to get this notarized
- 1
Download the Form
Get the Authorized Signature Form from the City of Tupelo Department of Development Services.
- 2
Fill In the Details
Enter the license holder, Mississippi state license number, company, authorized person, and job title, then complete the authorization.
- 3
Book an Online Notary
If you are not signing before the Department, arrange notarization of the form’s jurat.
- 4
Sign on Video
Sign and swear or affirm the authorization before a commissioned online notary, after confirming the City will accept it.
- 5
Submit to the City
Submit the notarized original to the City of Tupelo Department of Development Services when required.
Preview the form
The blank PDF straight from Tupelo. 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 submit the authorized signature form?
- Complete the license holder, license, company, authorized person, job title, and signature details. If you do not sign before the Department of Development Services, submit a notarized original.
- Do I need to have this form notarized?
- The form says a notarized original must be submitted if it is not signed in the presence of the Department of Development Services.
- Can I use an online notary for this Mississippi form?
- Mississippi notaries must have the signer physically present, and Mississippi law recognizes certain notarial acts performed by authorized officers of another state. Confirm with the city or chancery clerk if unsure whether the city will accept an online notarization.
- Who can be listed as the authorized person?
- The form requires the authorized person to be an employee of the license holder. It also says the City will not issue a permit to that person until it receives email confirmation of the license holder’s approval.