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CITY OF LITTLE CANADA <br />515 Last Little Canada Road <br />Little Canada, MN 55117 <br />www.ci.little-eanada.mn.us <br />651,766.4029 Fax 651,766,4048 <br />Affidavit of Property Owner for a Family Member Exemption <br />**Notice: Property owners claiming the relative/step-relative exemption from registering their rental property must <br />complete the Affidavit of Exemption. This form exempts the Property Owner from the license fee, but not the <br />license. This form must be notarized, which requires completing and signing the document in the presence of a <br />notary public. The city has many notaries on hand, You can also contact your local bank, or post office to see if they <br />have someone certified as a public notary, When completed, please return with your completed Rental Registration <br />Form, <br />Property Owner Name: <br />The address of the property is: <br />I am exempt from the registration fee for the City of Little Canada's Rental License Application <br />because all renters residing in the Rental property are related to me as a parent, child, sibling, <br />grandparent, grandchild, step-parent, step -child, step -grandparent, or step -grandchild. <br />The following renters reside in the Rental Property: <br />Renter(s) Relationship <br />Other than those persons listed in this Affidavit, no other person resides at the Rental Property. <br />FURTHER YOUR AFFIANT SAYETH NOT. <br />Printed Name -- Rental Property Owner Signature — Rental Property Owner <br />Subscribed and sworn to before me <br />this day of , 20 <br />Notary Public Signature <br />Notary Stamp Here <br />