Southern Pines, NC · Moore County

Owner Exemption Affidavit

The Owner Exemption Affidavit is a sworn form for property owners or authorized company representatives seeking an exemption from contractor licensure to apply for a building 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 Town of Southern Pines Inspection Department uses this affidavit when an owner or authorized company representative claims an exemption from contractor licensure for building construction or alteration. The signer identifies the property and project, attests to personally managing the work and meeting the stated conditions, and acknowledges the occupancy requirement and possible permit revocation. The completed affidavit is associated with the building permit application and may be transmitted to the North Carolina Licensing Board for General Contractors.

Who needs it

A property owner, or someone authorized to act for a property-owning firm or corporation, needs this form when claiming the stated licensure exemption for a building permit.

Why it needs a notary

The form has a sworn or affirmed and subscribed jurat; the affiant signs and swears or affirms before the notary, who signs and seals the form.

How to get this notarized

  1. 1

    Download the Affidavit

    Download the Owner Exemption Affidavit from the Town of Southern Pines.

  2. 2

    Fill Out the Form

    Enter the property, project, and permit details, then complete the applicable initials and attestations.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary and confirm the Town will accept the notarized form.

  4. 4

    Sign on Video

    Sign and swear or affirm the affidavit before the notary during your session.

  5. 5

    Submit to the Town

    Submit the notarized affidavit with your building permit application as directed by the Town.

Preview the form

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

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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 Owner Exemption Affidavit?
Enter the property and project details, complete the statements by initialing the applicable provisions, and sign before a notary. Submit the completed affidavit with your building permit application as directed by the Town.
Do I need to sign the affidavit in front of a notary?
Yes. The form says it must be sworn or affirmed and subscribed before a notary. Wait to sign until you are before the notary.
Can I use remote online notarization for this form?
North Carolina's enacted remote electronic notarization program has not launched. Its emergency video notarization requires both the signer and notary to be physically in North Carolina; confirm with the city or town if unsure.
What does the affidavit require me to attest to?
The form asks you to attest to property ownership or authorization, personal supervision and management of construction, required site presence, and the stated 12-month occupancy condition.

Owner Exemption Affidavit in other North Carolina cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Owner Exemption Affidavit?

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