Roseburg, OR · Douglas County

Annexation Application

This application lets legal owners of land contiguous to Roseburg request and consent to annexation, and provides property details, owner signatures, and a notary block.

Detailed form~25 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

Legal owners use this application to ask Roseburg to initiate annexation proceedings and consent to annexation of the described property. The form requests a legal description, parcel and zoning information, land area, elector count, and owner contact details; it also requires signed maps and may require supporting deeds and maps. The consent remains in force for one year from execution unless annexation proceedings begin by then.

Who needs it

Legal owners of land contiguous to Roseburg who are requesting and consenting to annexation should complete this application and provide the requested property information.

Why it needs a notary

The form has a notary acknowledgment block headed “Before me”; each property owner signing the application should sign before a notary public.

How to get this notarized

  1. 1

    Download the Application

    Get the annexation application and its guide for required proposed annexation maps.

  2. 2

    Fill In Property Details

    Provide the legal description, parcel information, location, zoning details, land area, elector count, and owner contact information.

  3. 3

    Prepare Supporting Materials

    Prepare the map and any deeds or maps referred to in the property description, following the guide.

  4. 4

    Book an Online Notary

    Arrange a session with a commissioned online notary for the property owner signature or signatures.

  5. 5

    Sign on Video

    Sign the application in the notary's presence during the online video session.

  6. 6

    Submit to the City

    Send the completed application and required supporting materials to the City of Roseburg.

Preview the form

The blank PDF straight from Roseburg. 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

How do I complete the annexation application?
Describe the property, enter the requested parcel and owner information, sign before a notary, and include the required annexation map and supporting documents described in the guide.
Do I need to submit a map with this application?
Yes. The guide calls for an accurate map showing the proposed annexation and contiguous city limits. It also requests copies of deeds and maps referred to in the property description.
Can I sign this form with a commissioned online notary?
Oregon recognizes notarial acts performed by authorized officers of another state, and the Oregon Secretary of State says a properly notarized out-of-state remote online notarization document is valid in Oregon. Confirm with the city or county clerk if unsure.
How long does the annexation consent remain in force?
The form says the request and consent remain in force for one year from execution unless proceedings for annexation are instituted on or before that date.

Annexation Application in other Oregon cities

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

Ready to notarize your Annexation Application?

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