Sammamish, WA · King County

Affidavit of Impact Fee Deferral

This affidavit documents a request to defer impact fees for a single-family residential project and is completed by the property owner, applicant, or representative submitting the permit materials.

Detailed form~25 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

Sammamish uses this affidavit to document that a single-family residential project meets the requirements for impact fee deferral. The form asks the signer to acknowledge when deferred fees are assessed and due, and states that the deferral may not exceed 18 months from the building permit date. Complete and save the affidavit, then upload it to MyBuildingPermit.com with the other submittal documents.

Who needs it

The property owner, applicant, or representative for a single-family residential project in Sammamish seeking impact fee deferral should complete and submit this affidavit.

Why it needs a notary

The form includes a sworn-to/affirmed-before-me jurat; the property owner, applicant, or representative making the statement signs and swears or affirms before the notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Affidavit of Impact Fee Deferral from the City of Sammamish and review its instructions.

  2. 2

    Complete the Form

    Fill in the project and parcel details, signer information, and other requested fields.

  3. 3

    Book an Online Notary

    Schedule a session with a commissioned online notary for the affidavit’s oath or affirmation.

  4. 4

    Sign on Video

    Appear by video, take the oath or affirmation, and sign as directed by the notary.

  5. 5

    Submit to the City

    Save the completed affidavit and upload it to MyBuildingPermit.com with the other submittal documents.

Preview the form

The blank PDF straight from Sammamish. 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 notarize the impact fee deferral affidavit online?
Complete the affidavit, then book a commissioned online notary. During the video session, swear or affirm that your statement is true and sign as directed. Upload the completed form with your permit documents.
Do I need to sign the affidavit in front of a notary?
Yes. The form says a notary is required and includes a sworn-to/affirmed-before-me jurat. Signers making the statement must take an oath or affirmation before the notary.
Who completes this Sammamish affidavit?
The form identifies the signer as the applicant, representative, and/or owner for the project. It is for a single-family residential project seeking impact fee deferral.
Where do I submit the completed affidavit?
The instructions say to complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the submittal documents. Confirm with the city or town if unsure.
Can I use remote online notarization for this form?
Washington authorizes its notaries to perform remote online notarizations under RCW 42.45.280. The form requires a notarial oath or affirmation; confirm the city’s submission requirements if you have questions.

Ready to notarize your Affidavit of Impact Fee Deferral?

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