Chestnut Ridge, NY · Rockland County
Authorized Representative Designation Form
This four-page form designates an authorized representative for property in Chestnut Ridge and is submitted to the Village Building Department by the property owner and 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
Chestnut Ridge’s Building Department requires proof of authority before accepting a signature on a Building Department transaction when the signer is not the property owner listed on the current Village Tax Roll. The form identifies the property, owner and representative, and includes separate sworn affidavits for the owner’s designation and the representative’s agreement to act. It states that non-resident owners and certain lessees must designate an authorized representative.
Who needs it
Non-resident property owners and certain lessees, or someone signing for an owner not listed on the current Village Tax Roll, may need to submit this form to the Building Department.
How to get this notarized
- 1
Download the Form
Get the Authorized Representative Designation Form from the Village of Chestnut Ridge.
- 2
Fill In the Details
Provide the property, property owner and authorized representative information.
- 3
Book an Online Notary
Arrange a remote notarization session for the owner’s and representative’s affidavits.
- 4
Sign on Video
Each signer completes their affidavit and signs and swears before the notary during the video session.
- 5
Submit to the Village
Send the completed form to the Chestnut Ridge Building Department according to its instructions.
Preview the form
The blank PDF straight from Chestnut Ridge. 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 the authorized representative form?
- Enter the property, owner and representative information, then have the owner and representative complete their respective affidavits before a notary. Submit the completed form to the Chestnut Ridge Building Department.
- Do I need to notarize both affidavits?
- The form provides a separate sworn notary certification for the Property Owner’s Homeowner Affidavit and the Authorized Representative Affidavit. Each person named in those affidavits should sign and swear before a notary.
- Can I use online notarization for this form?
- New York authorizes remote online notarization by a commissioned online notary under Executive Law §135-c. Check with the Chestnut Ridge Building Department if you are unsure whether it will accept a remotely notarized form.
- Where do I submit the completed form?
- The form lists the Village of Chestnut Ridge Building, Planning and Zoning Department. Contact the department for submission instructions; confirm with the city, town or village if unsure.