Winston-Salem, NC · Forsyth County

Secondary/Accessory Kitchen Affidavit

This affidavit records a dwelling owner’s sworn statement that a second kitchen will not be used as a secondary/accessory dwelling unit, for submission with the related city permit.

Simple form~10 min to notarize
  • 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 identifies the permit number and property, then records the owner’s declaration that the second kitchen will not serve as a secondary/accessory dwelling unit under the Unified Development Ordinances. It also states the owner understands the property is zoned for a single-family dwelling unit only. Use it when the City requests this affidavit for a permit; complete the owner and property details and sign before a notary.

Who needs it

A dwelling owner whose property has a second kitchen needs this affidavit when the City requests a sworn statement about its intended use for a permit.

Why it needs a notary

The form has a sworn-to-and-subscribed-before-me jurat; the dwelling owner named in the affidavit signs before the notary.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the Secondary/Accessory Kitchen Affidavit from the City of Winston-Salem.

  2. 2

    Fill In The Form

    Enter the permit number, dwelling address, owner details, phone number, and date. Review the declaration before signing.

  3. 3

    Book An Online Notary

    Arrange an appointment with a commissioned online notary and confirm the City will accept your planned notarization.

  4. 4

    Sign On Video

    Sign the affidavit in front of the notary, who completes the jurat and commission-expiration field.

  5. 5

    Submit To The City

    Submit the completed affidavit with the related permit materials as directed by the City.

Preview the form

The blank PDF straight from Winston-Salem. Look it over, then upload your filled copy to start the notary session.

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Info

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 Secondary/Accessory Kitchen Affidavit?
Enter the permit number, property address, owner details, phone number, and date. The owner makes the stated declaration and signs before a notary, who completes the jurat.
Do I need to sign this affidavit in front of a notary?
Yes. The form includes a sworn-to-and-subscribed-before-me jurat, so the owner should sign in the notary’s presence and have the notary complete the signature and commission-expiration fields.
Can I use an online notary for this affidavit?
North Carolina’s remote electronic notarization program has not launched. Emergency video notarization is a separate process requiring both signer and notary to be in North Carolina; ask the City whether it accepts your planned notarization.
What if I am unsure whether the City requires this affidavit?
The form includes a permit number but does not state when the City requires it. Contact the City about your permit and intended use of the second kitchen; confirm with the city if unsure.

Ready to notarize your Secondary/Accessory Kitchen Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.