Pilot Mountain, NC · Surry County
Family Subdivision Compliance Statement
This statement documents a property owner’s understanding of private-street maintenance and family occupancy conditions for a family subdivision submitted to the Town of Pilot Mountain.
- 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 statement identifies the property, subdivision, private-street access, and family member who will occupy the property. It records the owner’s understanding that private-street maintenance is the responsibility of abutting lot owners and their successors, and that the property must be maintained by the named immediate family member for at least five years. The form also warns that failure to notify Planning & Development Staff may result in a violation.
Who needs it
Property owners completing a family subdivision involving a private street and occupancy by an immediate family member should submit this statement to the Town’s Planning & Development Staff.
Why it needs a notary
The form carries a sworn-to and subscribed-before-me jurat; the property owner or owners signing the statement must swear to it before the notary.
How to get this notarized
- 1
Download the Form
Get the Family Subdivision Compliance Statement from the Town of Pilot Mountain.
- 2
Fill In the Details
Enter the property, subdivision, private-street, and immediate-family occupant information requested.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary and confirm the Town will accept the notarized form.
- 4
Sign Before the Notary
The property owner or owners must swear to and sign the statement before the notary completes the jurat.
- 5
Submit to the Town
Send the completed statement to the Town of Pilot Mountain Planning & Development Staff.
Preview the form
The blank PDF straight from Pilot Mountain. 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 Family Subdivision Compliance Statement?
- Fill in the property, subdivision, private-street, and family occupant details. Signers must swear to the statement before a notary, then submit it to the Town of Pilot Mountain Planning & Development Staff.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a sworn-to and subscribed-before-me jurat, so the property owner or owners must sign and swear to the statement before a notary.
- Can I use an online notary for this form?
- North Carolina’s enacted remote electronic notarization program has not launched. Emergency video notarization is not remote online notarization and requires the signer and notary to be in North Carolina. Ask the Town whether it accepts your notarized form; confirm with the city or town if unsure.
- What does this statement say about private-street maintenance?
- It states that private-street maintenance is the responsibility of abutting lot owners and their successors in interest, and that the Town or other agencies have not committed to maintain the street.