Brewster, NY · Putnam County
Disclosure Statement Accompanying Application, Petition, or Request
This disclosure form identifies an application, petition, or request to the Village of Brewster and records the applicant’s information and any municipal interests.
What this form is
The form accompanies an application, petition, or request to a Brewster Village board or the Buildings & Codes Officer. It asks for the applicant’s name, address, date, and the nature of the request, plus details of any state or municipal officer or employee’s interest. The applicant certifies that no such interest exists except as stated and signs and dates the disclosure.
Who needs it
A person or firm making an application, petition, or request to a listed Brewster Village board or the Buildings & Codes Officer needs this disclosure.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This disclosure is signed and dated without a notary; the document does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Disclosure
Download the Brewster disclosure statement PDF.
- 2
Complete the Form
Identify the application, petition, or request; provide the applicant’s details and disclose any relevant officer or employee interest.
- 3
Sign and Date
The applicant, petitioner, or person or firm making the request signs and dates the disclosure.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Brewster disclosure statement ask for?
- It asks for the applicant’s name, address, date, and the nature of the application, petition, or request, along with details of any state or municipal officer or employee’s interest.
- Who completes this disclosure statement?
- The applicant, petitioner, or person or firm making a request to a listed Brewster Village board or the Buildings & Codes Officer completes and signs it.
- Do I need a notary for the Brewster disclosure statement?
- No. This document is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the Brewster disclosure statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Disclosure Statement Accompanying Application, Petition, or Request doesn’t need a notary — but if you have another Brewster form that does, a commissioned online notary can help.