Brookhaven, NY · Suffolk County
Owner’s Affidavit and Agent’s Affidavit
This affidavit records an owner’s or agent’s sworn statements about a property and Board of Zoning Appeals application for submission with an application to the Town of Brookhaven.
- 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
The form provides separate sworn statements for a parcel owner and the owner’s agent. The owner attests to ownership, the property’s violation status, and the truth of application items 1 through 10; the agent confirms their role, the application information, and its sources. It accompanies an application to the Town of Brookhaven Board of Zoning Appeals, which the affidavit says will rely on the statements.
Who needs it
A parcel owner or agent completing a Town of Brookhaven Board of Zoning Appeals application may need to complete the corresponding affidavit section.
How to get this notarized
- 1
Download The Affidavit
Get the Owner’s Affidavit and Agent’s Affidavit form from the Town of Brookhaven.
- 2
Fill In The Applicable Section
Complete the owner or agent section with the requested property, application, and source information.
- 3
Book An Online Notary
Schedule a remote session with a commissioned online notary.
- 4
Sign And Swear On Video
Wait to sign until the notary directs you, then swear to the statements during the video session.
- 5
Submit With Your Application
Submit the notarized affidavit with the Board of Zoning Appeals application to the Town of Brookhaven.
Preview the form
The blank PDF straight from Brookhaven. 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 Brookhaven affidavit notarized online?
- Complete the applicable owner or agent section, then book a session with a commissioned online notary. Sign and swear to the statements during the video session.
- Do I need to sign this affidavit in front of a notary?
- Yes. Each affidavit section includes a “Sworn to before me” jurat, so the person making the statements must swear to and sign them before a notary.
- Can I use remote online notarization for this form?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, effective in 2023. Confirm with the city, town or village if unsure.
- Who completes the owner and agent sections?
- The parcel owner completes the Owner’s Affidavit. The agent completes the Agent’s Affidavit if acting for the owner and providing information for the Board of Zoning Appeals application.