Glen Cove, NY · Nassau County

Planning Board Disclosure Affidavit

This affidavit discloses an applicant’s connection to a property and any interested parties for people applying to the Glen Cove Planning Board for specified land-use approvals.

Detailed form~25 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 affidavit identifies the applicant’s role in the proceeding and interest in the property, and asks whether certain public or political party officers have an interest in the Board’s favorable exercise of discretion. The form says every Planning Board applicant—including an owner, lessee, agent, or contract vendee—must execute it. Business and partnership sections are completed only when applicable, and the applicant signs the affidavit under oath.

Who needs it

Every applicant before the Glen Cove Planning Board, including an owner, lessee, agent, or contract vendee, must execute this disclosure affidavit.

Why it needs a notary

The form has a jurat stating “Sworn to me this” and must be signed under oath by the applicant before a notary public or commissioner of deeds.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Planning Board Disclosure Affidavit from the City of Glen Cove.

  2. 2

    Fill In Applicable Sections

    Enter the applicant’s name as it appears on the deed, lease, or contract, and complete applicable disclosures.

  3. 3

    Book an Online Notary

    Schedule a remote video session with a commissioned online notary.

  4. 4

    Sign Under Oath on Video

    Sign the affidavit before the notary during the video session and complete the jurat.

  5. 5

    Submit to the City

    Submit the notarized affidavit with your Glen Cove Planning Board application.

Preview the form

The blank PDF straight from Glen Cove. 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 and notarize this affidavit?
Complete the sections that apply, then sign under oath during a video session with a commissioned online notary. Submit the notarized affidavit as part of your Planning Board application.
Do I need to complete the business or partnership sections?
Complete the business or partnership section that applies to you. The form instructs applicants to leave those sections blank if they are not applicable.
Can I use online notarization for 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 notarize your sworn signature by video.
Who must sign this affidavit?
The form says every Planning Board applicant must execute it, including an owner, lessee, agent, or contract vendee. The applicant signs the affidavit under oath before a notary.
Where do I submit the completed affidavit?
The form is for a Glen Cove Planning Board proceeding. Follow the Board’s application instructions for submission, and confirm with the city, town or village if unsure.

Ready to notarize your Planning Board Disclosure Affidavit?

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