Pineville, NC · Mecklenburg County

Police Department Authorization to Act as Agent

This form authorizes the Pineville Police Department to act as an agent for a business or property owner by asking unauthorized individuals to leave the owner’s premises or property.

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

A business or property owner uses this form to authorize the Pineville Police Department to ask unauthorized individuals to leave the owner’s premises or property when the owner is absent. The form also describes the owner’s responsibilities if asked to file a complaint or testify, and says the authorization expires one year after signing. The owner should notify the department if the authorization ends or property ownership or authority transfers.

Who needs it

A business or property owner who wants to authorize the Pineville Police Department to ask unauthorized individuals to leave the owner’s premises or property in the owner’s absence.

Why it needs a notary

The form carries an acknowledgment block; the business or property owner signing the authorization must personally appear before the notary and acknowledge executing the instrument.

How to get this notarized

  1. 1

    Download the Form

    Get the Police Department Authorization to Act as Agent form from the Town of Pineville.

  2. 2

    Fill In the Details

    Enter the business or property owner’s information, contact details, and the requested authorization information.

  3. 3

    Book an Online Notary

    Arrange a notary appointment only if the signing method is available for this form and your circumstances.

  4. 4

    Sign Before the Notary

    Appear before the notary and acknowledge executing the authorization; do not sign beforehand.

  5. 5

    Submit to the Town

    Follow the Town of Pineville’s instructions for submitting the completed authorization.

Preview the form

The blank PDF straight from Pineville. 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

What does this authorization let the Pineville Police Department do?
It authorizes the department to ask unauthorized individuals to leave the owner’s premises or property while the owner is absent. The form also explains the owner’s complaint and court testimony responsibilities.
Who signs the police authorization form?
The business or property owner named on the form signs and acknowledges executing the authorization before a notary. The form also asks for contact details and an effective date.
Do I need to renew this authorization?
The form states that authorization expires one year from the signing date. The citizen must execute a new form to continue the authorization and should notify the department if it is terminated or authority transfers.
How do I notarize this form online in North Carolina?
North Carolina’s enacted remote electronic notarization program has not launched. Emergency video notarization requires both signer and notary to be in North Carolina; confirm with the city or town if unsure.

Ready to notarize your Police Department Authorization to Act as Agent?

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