Henderson, TX · Rusk County
House Moving Permit Signature Form
House moving permit applicants use this form to collect the applicant and company or organization signatures listed by Henderson’s Community Development Department.
What this form is
This form collects the permit applicant’s signature and signatures from representatives of listed companies or organizations, including electric, cable TV, fire, and police. It also states that building materials and debris must be removed from the site and water, sewer, and gas lines capped. The form includes fields for names and dates, plus an office-use section for the building inspector’s signature and issue date.
Who needs it
A house moving permit applicant and representatives of the companies or organizations listed on the form need to complete the applicable signature fields.
How to submit it
The form identifies the City of Henderson Community Development Department at 300 West Main Street, Henderson, TX 75652. It does not provide a separate submission method.
About notarization
This form has no notary block; the applicant and listed representatives sign and date it, and no sworn or notarized attachment is identified.
How to submit this form
- 1
Download the Form
Download the House Moving Permit Signature Form.
- 2
Complete the Applicant Fields
Enter the permit applicant name and complete the applicant signature and date fields.
- 3
Collect Listed Signatures
Obtain signatures and dates from representatives of the companies or organizations listed on the form, as applicable.
- 4
Submit to the City
The form lists the Community Development Department at 300 West Main Street, Henderson, TX 75652; it does not specify a submission method.
Frequently asked questions
- What is the House Moving Permit Signature Form for?
- It collects the permit applicant’s signature and signatures from representatives of listed companies or organizations, and includes an office-use section.
- Who signs this form?
- The permit applicant signs, along with representatives of each company or organization listed on the form, as applicable.
- Do I need a notary for the House Moving Permit Signature Form?
- No. This form has no notary block; the applicant and listed representatives sign and date it, and no sworn or notarized attachment is identified.
- How do I submit the House Moving Permit Signature Form?
- The form lists the City of Henderson Community Development Department at 300 West Main Street, Henderson, TX 75652, but does not specify a submission method.
