Sammamish, WA · King County

No notary required

Acceptance of Financial Responsibility – Affidavit of Applicant Status

Property owners complete this form to identify the permit applicant and accept financial responsibility for fees associated with permit review and approval.

What this form is

Property owners must complete this form for a permit application and upload it with the other submittal documents. It collects project, property owner, and applicant details; lets the owner authorize an applicant to act on their behalf; and records who accepts responsibility for permit, review, and related fees.

Who needs it

Each property owner completes a separate copy to identify the applicant and accept financial responsibility for fees associated with the permit.

How to submit it

Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the submittal documents.

About notarization

This affidavit is signed and dated without a notary; it includes a declaration under penalty of perjury under the laws of Washington State.

How to submit this form

  1. 1

    Download The Form

    Download the Acceptance of Financial Responsibility – Affidavit of Applicant Status PDF.

  2. 2

    Complete The Form

    Enter the project and property details, identify the owner and applicant, select the appropriate options, and complete the signatures and dates.

  3. 3

    Gather Submittal Documents

    Save the completed form and gather the other documents for the permit submittal.

  4. 4

    Upload To MyBuildingPermit.com

    Upload the form in the “File Upload” section of MyBuildingPermit.com with the rest of the submittal documents.

Frequently asked questions

Do I need a notary for the Affidavit of Applicant Status?
No. The form expressly says no notary is required; the signer completes the declaration under penalty of perjury and signs and dates it.
How do I submit the financial responsibility form?
Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the submittal documents.
Who completes this Sammamish form?
Each property owner must complete a separate copy. The form allows the owner to identify themselves as the legal owner or authorize an applicant to act on their behalf.
What financial responsibility does the form cover?
The selected owner or applicant accepts responsibility for permit fees, review costs, and other associated fees, whether or not the permit is issued or the application is canceled before issuance.

Need something notarized?

This Acceptance of Financial Responsibility – Affidavit of Applicant Status doesn’t need a notary — but if you have another Sammamish form that does, a commissioned online notary can help.