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

Property Address
Sale or Rental Property
Are you planning on renovating?

Proposed Owner

Proposed Owner Name
Current Address

Present Owner

Present Owner Name
Present Owner Address
THE PRESENT OWNER AS 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
Commission Expires
Sworn to Me and Subscribed Before Me on
Please type your full name above to serve as your electronic signature.
Date