Village of Southampton, NY · Suffolk County
Disclosure Affidavit
The Disclosure Affidavit identifies applicants, property owners, contract vendees, and relevant government interests for people submitting an application to a Village of Southampton agency.
- 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 affidavit collects information about the applicant, property owner, and any contract vendee, including business owners or members when applicable. It also asks whether Village, Town, County, or State officers or employees have specified interests in those parties. The Village of Southampton Building Department uses it with an application concerning property in Southampton, New York; the form cites General Municipal Law 809 and requires the person making the affidavit to swear to its contents.
Who needs it
An applicant or the applicant’s agent for a property-related application to a Village of Southampton agency should complete the affidavit and disclose any applicable interests.
How to get this notarized
- 1
Download the Affidavit
Get the Disclosure Affidavit from the Village of Southampton and review its questions before completing it.
- 2
Fill In the Form
Enter applicant, property owner, and contract vendee details, then answer the questions about government interests.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary and have identification ready.
- 4
Sign on Video
Sign and swear to the affidavit during the live video session when directed by the notary.
- 5
Submit to the Village
Send the notarized affidavit with your application to the Village of Southampton Building Department.
Preview the form
The blank PDF straight from Village of Southampton. 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 Disclosure Affidavit notarized online?
- Complete the affidavit, then book a session with a commissioned online notary. Sign and swear to the form during the video session, then submit it to the Village of Southampton Building Department.
- Do I need to disclose interests involving family members?
- The affidavit describes certain interests involving an officer’s or employee’s spouse and specified relatives. Read the form’s questions and definitions carefully, and disclose information that applies.
- Can I sign this affidavit remotely?
- New York authorizes remote online notarization by its commissioned notaries under Executive Law §135-c. You must sign and swear to the affidavit during the notarial video session.
- Where do I submit the completed affidavit?
- The form identifies the Village of Southampton Building Department at 23 Main Street in Southampton. Confirm with the city, town or village if unsure about submission or filing instructions.
Other forms in Village of Southampton
Building Permit Application
Village of Southampton
Owner Authorization and Endorsement Letter
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Planning Board Affidavit of Mailing
Village of Southampton
Planning Board Affidavit of Posting
Village of Southampton
Planning Board Application to Subdivide Real Property
Village of Southampton
Seasonal Rental Registry Application
Village of Southampton
Disclosure Affidavit in other Suffolk County cities
Each city publishes its own version of this form. Pick the city where you’re filing.