Island Park, NY · Nassau County
Mother-Daughter/Father-Son Residence Application Supplement
This supplementary statement accompanies an application for a mother-daughter or father-son dwelling permit in Island Park and is completed by the legal owner of the property.
- 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
Island Park’s Board of Trustees uses this supplementary statement with an application for a permit to use a family dwelling as a mother-daughter or father-son residence. The owner provides property details, occupant names and ages, and information about the dwelling’s entrances, utilities, parking, and contact listings. The form also includes the owner’s sworn statement and lists supporting documents and other requirements for processing the application.
Who needs it
The legal owner applying for an Island Park mother-daughter or father-son dwelling permit completes this statement and provides the listed supporting application materials.
Why it needs a notary
The form carries a sworn-to jurat stating “Sworn to before me”; the legal owner making the statement signs before the notary.
How to get this notarized
- 1
Download the Form
Get the supplementary statement from the Village of Island Park and review its application requirements.
- 2
Complete the Statement
Enter the owner, property, occupant, and dwelling details requested. Leave the sworn signature for the notary session.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary and have your form and identification ready.
- 4
Sign on Video
Appear by video and sign the owner’s sworn statement when instructed by the notary.
- 5
Submit to the Village
Submit the notarized statement with the supporting materials required for the permit application.
Preview the form
The blank PDF straight from Island Park. 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 owner statement notarized?
- Complete the form, then book with a commissioned online notary. Sign the sworn statement during the video session and follow the notary’s instructions.
- Do I need to submit supporting documents with this application?
- The form lists proof of legal ownership, an affidavit of relationship, occupant information, photographs, and birth certificates among the processing requirements. Check the application instructions for your submission.
- Can I sign this form with a commissioned online notary?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, effective in 2023. Real Property Law §299 recognizes notarial acts performed outside New York by an officer authorized where the act is performed.
- Where do I submit the completed application?
- The form identifies the Village of Island Park Board of Trustees as the application office and lists its address as 127 Long Beach Road, Island Park. Confirm with the city, town or village if unsure.