DECLARATION OF A NOTARIZED

HOMEOWNER, PERMITTING RESIDENCE AT

HIS/HER PROPERTY.
The following foreigner/foreigners
_______________________
Name: _______________________
Name: _______________________
Name: _______________________
Name:

________________
ID number: ________________
ID number: ________________
ID number: ________________
ID number:

Are permitted to reside at my property at

address___________________________
postal code and place _____________________________

the above-mentioned foreigners are permitted to reside at my property

for an indefinite period
From____/___/_____ until ___/____/____

_______________
Signature of a notarized homeowner
ID number: _______________

_______________
Signature of a notarized homeowner
ID number: _______________

Witnesses to a correct signature of homeowners.

Witness: _______________ID number: ____________
Witness: _______________ID number: ____________
Skgarhl 6 105 REYKJAVK - SMI 510 5400 - SMBRF 510 5405 - NETFANG utl@utl.is