Owner-Builder Statement/Affidavit

State of [State] County of [County]

I, [Owner Name], being the owner of the property located at [Property Address], being duly sworn, depose and state:

1. Owner-Builder Status

I am acting as my own contractor ("owner-builder") for the construction/renovation project at the property described above, and I am not a licensed contractor performing work for compensation for others.

2. Understanding of Responsibilities

I understand that as an owner-builder, I am legally responsible for: ensuring the work complies with applicable building codes, obtaining required inspections, and any injuries to workers I directly hire (as I may be considered their employer for workers' compensation purposes, depending on state law).

3. Scope of Work Performed by Owner

I will personally perform, or directly supervise and hire workers for, the following work: [Description].

4. Licensed Subcontractors

Any electrical, plumbing, or other specialty work requiring a license will be performed by a properly licensed contractor: [List, if known].

5. No Intent to Sell/Circumvent Licensing

I am not building this structure with the intent to sell it within [Period specified by state law, e.g. 1 year] in order to avoid contractor licensing requirements, and understand that doing so may violate state contractor licensing law.

6. Certification

I certify that the above statements are true and understand that providing false information on this affidavit may result in penalties under [applicable state law].

Owner signature: ______________________ Date: ____________

Notarization: Subscribed and sworn before me this ____ day of __________, 20__. Notary Public: ______________________

*This document is provided for informational and educational purposes only and does not constitute legal advice. Owner-builder permits exist as an exemption from contractor licensing requirements specifically for people building their OWN home to live in — many states specifically prohibit using this exemption to build and quickly flip a property, and some impose real penalties for owner-builders who effectively use the exemption to act as an unlicensed contractor for hire.*