Jackson, NY · Washington County
Agency Designation Form
This form lets a Town of Jackson property owner appoint a representative or agent to act on the owner’s behalf in a proceeding to subdivide real property.
- 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 records the landowner’s appointment of a representative or agent and grants authority to file applications, make statements, and represent the owner’s interests in a subdivision proceeding. The owner’s comments and statements are treated as their own, and the designation is intended to avoid the owner’s personal appearance before a Town of Jackson governmental entity or board. The form identifies signature and notary lines for both the landowner and representative or agent.
Who needs it
A Town of Jackson landowner who wants a representative or agent to act on their behalf in a proceeding to subdivide real property needs this form.
Why it needs a notary
The form has Notary Public lines for both the landowner and the representative or agent, and each person signs their respective line before a notary.
How to get this notarized
- 1
Download The Form
Get the Agency Designation Form from the Town of Jackson.
- 2
Fill In The Form
Enter the landowner and representative or agent information; review the authority being granted.
- 3
Book An Online Notary
Arrange a remote session with a commissioned online notary for the required signatures.
- 4
Sign On Video
The landowner and representative or agent sign their respective lines during the online notary session.
- 5
Submit To The Town
Send the completed, notarized form to the Town of Jackson as directed for the subdivision proceeding.
Preview the form
The blank PDF straight from Jackson. 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 notarize the Agency Designation Form?
- Complete the form, then the landowner and representative or agent each sign their respective line before a commissioned online notary. Submit the completed form as directed by the Town of Jackson.
- Do I need both the landowner and agent to sign?
- The form provides separate signature and Notary Public lines for the landowner and the representative or agent. Both lines should be completed as applicable to the designation.
- Can I sign this form with an online notary?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, effective in 2023. A commissioned online notary can notarize the signatures remotely.
- Where do I submit the completed form?
- The form concerns a Town of Jackson subdivision proceeding. Follow the Town’s submission instructions; confirm with the city, town or village if unsure.