Grand Prairie, TX · Dallas County
Boarding Home Facility Owner's Affidavit
This affidavit records an owner's or authorized representative's statements about criminal offenses and compliance for a boarding home facility in Grand Prairie.
What this form is
The affidavit records the owner's statements about whether the boarding home facility's owners, operators, or employees have been convicted of specified criminal offenses, and acknowledges that non-compliance may affect the facility's permit. It also asks the signer to confirm their authority to sign for others, then provide the county, execution date, printed name, and signature.
Who needs it
A boarding home facility owner, operator, or authorized representative may use this affidavit to make the statements and acknowledgments shown on the 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 document has no notary block; the owner or authorized signer signs and dates it, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download The Affidavit
Download the Boarding Home Facility Owner's Affidavit PDF.
- 2
Complete The Statements
Review the statements and acknowledgments, then enter the county, execution date, and printed name.
- 3
Sign The Affidavit
The owner or authorized signer signs the document; no attachment is identified.
- 4
Submit To The City
Check the city website for current contact details and submission instructions.
Frequently asked questions
- What does the Boarding Home Facility Owner's Affidavit state?
- It records statements about criminal convictions involving facility owners, operators, and employees, and acknowledges that non-compliance may affect the facility's permit.
- Who can sign this affidavit?
- The owner may sign, or a person signing for a corporation or others must certify that they are authorized and have advised them of the affidavit's contents.
- Do I need a notary for the Boarding Home Facility Owner's Affidavit?
- No. The document has no notary block; the owner or authorized signer signs and dates it, and no notarized or sworn attachment is identified.
- How do I submit the Boarding Home Facility Owner's Affidavit?
- The document provides a phone number and email for more information, but no submission method. Check the city website for current contact details.
Need something notarized?
This Boarding Home Facility Owner's Affidavit doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.