Winston-Salem, NC · Forsyth County
Separate Meter Affidavit
This affidavit states how a property owner and occupant intends to use a separate electrical meter when requesting the related permit from Winston-Salem/Forsyth County Planning & Development Services.
- 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 identifies the property and proposed meter use, and the signer declares they own and occupy the property. It states that the meter will not be used for business, dwelling, or a use that violates the property’s zoning under the Unified Development Ordinance. The city’s form is for a requested electrical permit for a separate meter; complete the property, permit, and proposed-use information and have the declaration notarized.
Who needs it
The property owner and occupant requesting an electrical permit for a separate meter should complete the affidavit and describe the meter’s proposed use.
Why it needs a notary
The form carries a sworn-to-and-subscribed-before-me jurat; the property owner and occupant signs the declaration before the notary.
How to get this notarized
- 1
Download the Affidavit
Get the Separate Meter Affidavit from the Winston-Salem/Forsyth County Planning & Development Services form page.
- 2
Fill In the Form
Provide the property and permit information and describe the proposed use of the separate meter.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary and confirm the city will accept the notarization method.
- 4
Sign Before the Notary
Wait to sign the declaration until you are before the notary, who completes the jurat.
- 5
Submit to the City
Send the completed affidavit with your separate-meter electrical permit materials to the city department.
Preview the form
The blank PDF straight from Winston-Salem. 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 complete the Separate Meter Affidavit?
- Enter the property and permit details, describe the proposed meter use, then sign the declaration before a notary. Submit the completed affidavit with your permit materials.
- Do I need to sign the affidavit before a notary?
- Yes. The form says it is sworn to and subscribed before a notary. Do not sign the declaration until you are before the notary.
- Can I use an online notary for this affidavit?
- North Carolina’s remote electronic notarization program has not launched. Its emergency video-notarization procedure is distinct and requires both signer and notary to be in North Carolina. Ask the city what notarization it will accept; confirm with the city or town if unsure.
- Who completes this affidavit?
- The form is for the owner and occupant of the property requesting an electrical permit for a separate meter. It includes a space to state the meter’s proposed use.
Other forms in Winston-Salem
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Electrical Installation by Property Owner Affidavit
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Installation By Property Owner (Mechanical) Affidavit
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Non-Conforming Use Affidavit
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