Baxter Estates, NY · Nassau County

Affidavit of Homeowner as Self-Contractor

This affidavit lets a homeowner applying for a Baxter Estates building permit attest that they will perform the work themselves and have no employees.

Simple form~10 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 form identifies the property and states that the homeowner has applied for a permit to make alterations to the house. The homeowner uses it to swear that they will perform the work themselves and have no employees. The Village Building Department requires contractors to provide proof of workers’ compensation insurance for a building permit, with the form describing this homeowner situation as an exception.

Who needs it

A homeowner applying for a Baxter Estates building permit needs this form if they will perform the work themselves and have no employees.

Why it needs a notary

The form includes a sworn-to-before-me jurat, so the homeowner must sign the affidavit in front of the notary and swear to its statements.

How to get this notarized

  1. 1

    Download the Form

    Get the Affidavit of Homeowner as Self-Contractor from the Village of Baxter Estates.

  2. 2

    Fill In the Details

    Provide the property address and Nassau County land and tax map details, and review the affidavit statements.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary.

  4. 4

    Sign on Video

    Wait to sign until you are with the notary by video, then swear to the affidavit.

  5. 5

    Submit to the Village

    Send the notarized affidavit to the Village as part of your building-permit application.

Preview the form

The blank PDF straight from Baxter Estates. 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

How do I complete this affidavit?
Enter the property and tax-map details, review the statements, then sign before a notary. Submit the completed affidavit to the Village with your building-permit application.
Do I need to sign in front of a notary?
Yes. The form has a sworn-to-before-me jurat. Sign in front of the notary and swear that the statements in the affidavit are true.
Can I notarize this affidavit online?
New York authorizes a commissioned online notary to perform remote notarizations under Executive Law §135-c, in effect since 2023. You can complete the notarization by video.
What if I am unsure whether this form applies to my project?
The form describes an exception for a homeowner performing the work themselves with no employees. Confirm with the city, town or village if unsure.

Ready to notarize your Affidavit of Homeowner as Self-Contractor?

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