City of Newburgh, NY · Orange County
Owner’s Proxy Statement
The Owner’s Proxy Statement identifies the property owner and authorized applicant, and is completed by an owner when someone other than the owner applies for work on 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
This statement records the property and owner information, names the applicant acting on the owner’s behalf, and identifies the applicant’s role. The owner swears that they own the property, have authorized the applicant to make and file the application, and that the application statements and planned work are accurate. The form is for an owner to complete when the applicant is someone other than the owner.
Who needs it
A property owner completes this statement when an agent, corporate officer, contractor, or other authorized person makes an application on the owner’s behalf.
Why it needs a notary
The form includes a jurat stating “Subscribed and sworn to before me”; the property owner signs and swears to the statement before the notary.
How to get this notarized
- 1
Download the Form
Get the Owner’s Proxy Statement from the City of Newburgh.
- 2
Fill In the Details
Enter the property, owner, and applicant information, and identify the applicant’s role. Leave the owner’s signature for the notary appointment.
- 3
Book an Online Notary
Schedule an appointment with a commissioned online notary.
- 4
Sign on Video
The owner signs and swears to the statement during the online notary session.
- 5
Submit to the City
Submit the completed, notarized statement with the application to the City of Newburgh.
Preview the form
The blank PDF straight from City of Newburgh. 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’s Proxy Statement notarized?
- Complete the form, then book an online appointment. The owner signs and swears to the statement during a live video session with a commissioned online notary.
- Do I need to sign this form in front of a notary?
- Yes. The form has a jurat stating “Subscribed and sworn to before me.” The owner must sign and swear to the statement before the notary.
- Can I use online notarization for this New York form?
- New York authorizes its own notaries to perform remote online notarizations under Executive Law §135-c, effective since 2023. Check with the city about its submission requirements.
- Who completes the Owner’s Proxy Statement?
- The property owner completes it when the applicant is someone other than the owner. The form asks for property, owner, applicant, and authorization details; confirm with the city, town or village if unsure.