Bellevue, WA · King County
Change of Billing Liability Notification
This notification assigns responsibility for past, present, and future permit charges to the signer, who submits it to Bellevue Development Services for the listed permit.
- 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
Use this form to notify Bellevue Development Services that you accept responsibility for all past, present, and future charges and fees associated with a listed permit. Enter the effective date, permit number and name, your contact and billing details, and sign before a notary. The form provides acknowledgment blocks for an individual signer or someone signing in a representative capacity.
Who needs it
Anyone notifying Bellevue Development Services that they accept responsibility for charges and fees associated with a permit should complete and submit this form.
Why it needs a notary
The form includes individual-capacity and representative-capacity acknowledgment blocks; the person accepting billing liability signs the form in the presence of a notary.
How to get this notarized
- 1
Download the Form
Get the Change of Billing Liability Notification from Bellevue Development Services.
- 2
Fill In the Permit and Billing Details
Provide the effective date, permit number and name, and your contact and billing information.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
Sign on Video
Sign the form during the online notary session, using the acknowledgment block that matches your capacity.
- 5
Submit to the City
Send the completed, notarized notification to Bellevue Development Services.
Preview the form
The blank PDF straight from Bellevue. 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 Change of Billing Liability Notification?
- Enter the effective date, permit number and name, your name, company and billing details, then sign the form in front of a notary and submit it to Bellevue Development Services.
- Do I need to sign this form in front of a notary?
- Yes. The form labels the signature as notarized and instructs you to sign in the presence of a notary. It includes acknowledgment blocks for individual and representative capacities.
- Can I sign this form with a commissioned online notary?
- Washington authorizes remote online notarization by its notaries under RCW 42.45.280, in effect since October 2020. Confirm with the city or town if unsure whether it accepts a remotely notarized form.
- Which acknowledgment block should I use?
- The form provides one block for an individual acknowledgment and another for a representative acknowledgment. Choose the block that matches how you are signing.