Chapel Hill, NC · Orange County
Lien Agent Exemption Attestation Statement
Homeowners use this statement to attest that they own and occupy a residence for a lien agent exemption.
What this form is
The Lien Agent Exemption Attestation Statement records an owner's confirmation that they own and occupy the listed residence. The signer attests that the information is true and valid to the best of their knowledge, then signs and dates the statement or uses an authenticated electronic or digital signature. Use it when providing this attestation for a lien agent exemption.
Who needs it
An owner who occupies the residence listed on the statement and needs to attest to those details for a lien agent exemption may use this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This statement is signed without a notary; the owner signs and dates it or provides an authenticated electronic or digital signature.
How to submit this form
- 1
Download The Statement
Download the Lien Agent Exemption Attestation Statement PDF.
- 2
Complete The Statement
Enter the residence address and attest that you own and occupy it.
- 3
Sign And Date
Sign and date the statement, or provide an authenticated electronic or digital signature.
- 4
Submit To The City
Submit the statement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Lien Agent Exemption Attestation Statement confirm?
- The owner confirms that they own and occupy the residence listed on the statement and that the information provided is true and valid to the best of their knowledge.
- Do I need a notary for the Lien Agent Exemption Attestation Statement?
- No. The statement is signed without a notary; the owner signs and dates it or provides an authenticated electronic or digital signature.
- How do I submit the Lien Agent Exemption Attestation Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Lien Agent Exemption Attestation Statement doesn’t need a notary — but if you have another Chapel Hill form that does, a commissioned online notary can help.