Certificate of Ownership & Use – Commercial Property (Present Owner)

Address

Street Address City State ZIP Code

Number of Units

Sale or Refinance

Sale

Refinance

What is Property being used for (Commercial, Vacant, Lot, Residential, etc.)

If this is a rental property, is it a Long Term leased property or a Short Term Rental (Air BnB)?

Proposed Owner

Name

Address

Street Address City State ZIP Code

Phone

Email

Present Owner

Name

Address

Street Address City State ZIP Code

Phone

Email

THE PRESENT OWNER LISTED ABOVE, BEING DULY SWORN, DEPOSES AND SAYS THAT HE/SHE IS THE PRESENT OWNER OF THE BUILDING/SPACE REFERRED TO ABOVE, AND THAT THE FACTS SET FORTH IN THE FOREGOING APPLICATION FOR CERTIFICATE OF OWNERSHIP & USE ARE TRUE AND CORRECT AS HE/SHE VERILY BELIEVES.

Sworn to and Subscribed Before Me This

Notary Public

My Commission Expires

Electronic Signature of Proposed Owner

Please type your full name here to serve as your electronic signature.

Print/Type Name