Flower Hill, NY · Nassau County
Disclosure Affidavit
The Disclosure Affidavit is a sworn statement about municipal interests in an application, petition or request, completed by the applicant and submitted with the related filing to the Village of Flower Hill.
- 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
This one-page affidavit accompanies an application, petition or request involving municipal zoning and planning regulations. The signer identifies their role in the attached application and swears that specified state, county, town or village officers and employees have no interest in the applicant. The form cites General Municipal Law Section 809 and includes provisions about covered family relationships and party officers in Nassau County.
Who needs it
An applicant, owner, contractor or vendee submitting a covered zoning or planning application, petition or request to the Village of Flower Hill needs to complete this affidavit.
Why it needs a notary
The applicant signs the sworn statement before a notary, who completes the form’s “Subscribed and sworn to before me” jurat and dates the notarization.
How to get this notarized
- 1
Download The Affidavit
Get the Disclosure Affidavit from the Village of Flower Hill and review its sworn statement and notary jurat.
- 2
Complete The Form
Enter your name and role in the attached application, then review the statement before signing.
- 3
Book An Online Notary
Schedule a remote session with a commissioned online notary.
- 4
Sign On Video
Sign and swear to the affidavit during the notary’s video session.
- 5
Submit It With Your Application
Submit the notarized affidavit with the related application according to the Village’s instructions.
Preview the form
The blank PDF straight from Flower Hill. 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 Disclosure Affidavit notarized online?
- Complete the affidavit, then book a session with a commissioned online notary. Sign while connected by video, and receive the notarized document to submit with the attached application.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form includes a “Subscribed and sworn to before me” jurat, so the applicant must sign and swear to the statement before a notary.
- Can a commissioned online notary notarize this affidavit?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, in effect since 2023. A commissioned online notary can conduct the notarization remotely.
- What should I attach this affidavit to?
- The form says it is for the requirements of General Municipal Law Section 809 and refers to the attached application. Follow the Village’s application instructions; confirm with the city, town or village if unsure.
Other forms in Flower Hill
Application For Amendment Of A Building Permit
Flower Hill
Building Permit Application
Flower Hill
Board of Zoning Appeals Application
Flower Hill
Certificate of Occupancy Application
Flower Hill
Landscaper/Tree Service License Application
Flower Hill
Affidavit of Compliance with Village Code and Local Laws for Permits
Flower Hill
Disclosure Affidavit in other Nassau County cities
Each city publishes its own version of this form. Pick the city where you’re filing.