Floresville, TX · Wilson County

Local Government Officer Conflicts Disclosure Statement

This affidavit-based conflicts disclosure form is for local government officers who become aware of facts requiring them to report certain vendor relationships or gifts.

Standard form~15 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

The form records the officer’s office, the vendor’s name, relevant business or family relationships, and certain gifts received by the officer or a family member. The form instructions say it must be filed with the local governmental entity’s records administrator by 5 p.m. on the seventh business day after the officer becomes aware of facts requiring a filing.

Who needs it

A local government officer who becomes aware of facts requiring disclosure about a vendor’s business or family relationships or gifts must complete and file this statement.

Why it needs a notary

The form has a sworn and subscribed affidavit block; the local government officer signs the statement before the notary administers the oath.

How to get this notarized

  1. 1

    Download the Form

    Get the Local Government Officer Conflicts Disclosure Statement and its instructions.

  2. 2

    Fill Out the Form

    Enter the officer and vendor details, disclose applicable relationships and gifts, and leave the affidavit signature for the notary appointment.

  3. 3

    Book an Online Notary

    Schedule a video appointment with a commissioned online notary who can administer the oath.

  4. 4

    Sign on Video

    Show identification as requested and sign the affidavit during the appointment while the notary administers the oath.

  5. 5

    Submit to the Entity

    File the completed statement with the local governmental entity’s records administrator by the stated deadline.

Preview the form

The blank PDF straight from Floresville. 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 get the conflicts disclosure statement notarized?
Complete the form, then sign the affidavit during a video appointment with a commissioned online notary. The notary administers the oath and completes the sworn-and-subscribed block.
Do I need to sign this form in front of a notary?
Yes. The form includes an affidavit with a sworn-and-subscribed-before-me notary block. Sign before the notary administers the oath, rather than signing it in advance.
Can I use an online notary for this form?
Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. A commissioned online notary can administer the oath during a video appointment; confirm with the city if unsure.
Where do I file the completed statement?
The form instructions say to file it with the records administrator of the local governmental entity. They state a deadline of 5 p.m. on the seventh business day after the officer becomes aware of facts requiring the filing.

Local Government Officer Conflicts Disclosure Statement in other Texas cities

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

Ready to notarize your Local Government Officer Conflicts Disclosure Statement?

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