Patchogue, NY · Suffolk County
Owner Occupied Rental Permit Application
This application requests an owner-occupied rental permit from the Incorporated Village of Patchogue and collects property, owner, unit, bedroom, and inspection information.
- 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
Property owners use this form to apply for an owner-occupied rental permit for a Patchogue property. The application asks for the property's tax map details and address, owner and property manager contact information, and the number of units and bedrooms. It also includes fields for initial or renewal inspection information and an owner signature sworn before a notary. The form lists permit fees by bedroom count and has space for village staff to record inspection results and approval.
Who needs it
A property owner seeking an owner-occupied rental permit for a Patchogue property should complete and submit this application to the Incorporated Village of Patchogue.
Why it needs a notary
The form has a sworn statement jurat; the property owner signs before the notary, who completes the date and notary signature section.
How to get this notarized
- 1
Download the Application
Get the Owner Occupied Rental Permit Application from the Incorporated Village of Patchogue.
- 2
Fill In the Form
Enter the property, owner, contact, unit, and bedroom information. Leave the sworn signature for the notary session.
- 3
Book an Online Notary
Schedule a remote online notarization session with a commissioned online notary.
- 4
Sign on Video
Show identification and sign the owner statement during the live video session when directed.
- 5
Submit to the Village
Submit the notarized application to the Incorporated Village of Patchogue.
Preview the form
The blank PDF straight from Patchogue. 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 this rental permit application notarized online?
- Complete the application, then book with a commissioned online notary. Sign during the video session when directed, and submit the notarized form to the Incorporated Village of Patchogue.
- Do I need to sign the application in front of a notary?
- Yes. The form includes a property owner signature and a sworn-to statement for the notary to complete. Sign before the notary during your session.
- Can I use remote online notarization for this form?
- New York Executive Law §135-c authorizes remote online notarization by New York notaries. A commissioned online notary can notarize the sworn owner signature during a video session.
- What information should I provide on the application?
- The form requests property tax map details and address, owner and manager contact information, unit and bedroom counts, and initial or renewal inspection information. Confirm with the city, town or village if unsure.
Owner Occupied Rental Permit Application in other Suffolk County cities
Each city publishes its own version of this form. Pick the city where you’re filing.