Millbrook, NY · Dutchess County
Applicant Disclosure Form
The Applicant Disclosure Form identifies the applicant, property, and relevant interests of Village officers, employees, and related persons; applicants submit it with specified land-use applications or requests.
- 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 form gathers applicant and property details and asks applicants to disclose specified business, financial, contractual, or other interests involving Village of Millbrook officers or employees and related persons. It must accompany applications, petitions, or requests for matters such as zoning changes, variances, plat approvals, site development plans, special use permits, licenses, or other permits under Village planning and zoning regulations. Disclosures cover the three years before applying and certain anticipated developments within the following year.
Who needs it
Anyone submitting a covered application, petition, or request under Village of Millbrook zoning, subdivision, or planning regulations must complete and submit this disclosure.
Why it needs a notary
The form has an acknowledgment block; the applicant whose signature appears on the form signs before a notary, who completes the acknowledgment.
How to get this notarized
- 1
Download The Form
Get the Village of Millbrook Applicant Disclosure Form.
- 2
Fill In The Disclosure
Enter applicant and property information, identify any applicable interests, and describe them as needed.
- 3
Book An Online Notary
Schedule a session with a commissioned online notary for the form's acknowledgment.
- 4
Sign On Video
Sign the form during the notary's live video session.
- 5
Submit To The Village
Submit the notarized disclosure with your covered application, petition, or request.
Preview the form
The blank PDF straight from Millbrook. 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 get the Applicant Disclosure Form notarized online?
- Complete the form, book with a commissioned online notary, and sign during the video session. The notary completes the acknowledgment before you submit the form with your application.
- Do I need to disclose interests involving Village officers?
- Yes. The form asks for specified interests involving Village officers or employees and related persons, including business, financial, and contractual relationships with the applicant or an affiliate.
- Can I use online notarization for this form?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, in effect since 2023. Use a commissioned online notary, and confirm with the city, town or village if unsure.
- When do I submit this disclosure?
- Submit it with a covered application, petition, or request, such as one seeking a variance, zoning change, plat approval, site development plan approval, special use permit, license, or other permit.