North Hills, NY · Nassau County
Disclosure Affidavit
The Disclosure Affidavit records whether public or party officials have an interest in a Village of North Hills application, and is filed by an individual applicant or an authorized entity representative.
- 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 affidavit accompanies an application to the Village of North Hills and states whether specified New York State, Nassau County, Town of North Hempstead, Village, or political-party officers have an interest in it. Applicants complete the individual or entity section, disclose any interest or state “NONE,” and agree to file a supplement if the information changes before the application is finally determined. The form cites General Municipal Law §809.
Who needs it
An individual applicant or an authorized representative of an entity applying to the Village of North Hills completes and submits this affidavit.
How to get this notarized
- 1
Download the Affidavit
Get the Disclosure Affidavit from the Village of North Hills.
- 2
Fill In the Applicant Details
Complete either the individual or entity applicant section, and provide the requested disclosure.
- 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 to the Village
File the notarized affidavit with your application to the Village of North Hills.
Preview the form
The blank PDF straight from North Hills. 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 complete and submit this affidavit?
- Complete the section for an individual or entity applicant, disclose any interest or state “NONE,” and sign and swear before a notary. Submit the completed affidavit with your application to the Village.
- Do I need to sign the affidavit in front of a notary?
- Yes. The form includes a sworn-to-before-me jurat, so the applicant or authorized entity representative must sign and swear to the affidavit before a notary.
- Can I use a remote online notary?
- New York authorizes its own notaries to perform remote online notarizations under Executive Law §135-c, effective since 2023. You can sign during a video session with a commissioned online notary.
- What if I am unsure whether to disclose an interest?
- The affidavit asks applicants to disclose any qualifying interest or state “NONE.” For questions about what to report or how to file, confirm with the city, town or village if unsure.
Disclosure Affidavit in other Nassau County cities
Each city publishes its own version of this form. Pick the city where you’re filing.