Full Text
1330 E Chambers Ave Millcreek, Utah 84106 [PHONE REDACTED] Short Term Rental Affidavit Proof of Primary Residence and Compliance Owner’s Name: Address: City: Zip: Date: Phone: Email: I hereby represent that I own the above identified residential property in Millcreek and that it is my PRIMARY RESIDENCE where I, the owner of record's habitation is fixed and for which the I, the owner of record resides at the property for a minimum of one hundred eighty-three consecutive calendar days during the calendar year. Signature: Name Printed: Date: STATE OF UTAH ) ) SS COUNTY OF SALT LAKE ) On this day of 20__, personally appeared before me, who, acting as an authorized representative of Millcreek, acknowledged that he/she signed the above certificate and that the statements contained therein are true. Notary Public, Residing in Utah I hereby represent that I am in compliance with all legal requirements and will pay all applicable taxes, fees, and other charges; and agree to continually comply with all requirements regarding short-term rentals.