Lumberton, TX · Hardin County
Local Government Officer Conflicts Disclosure Statement
The Texas Form CIS a Lumberton city officer files and swears to when they have a reportable business or gift relationship under the Local Government Code's conflict-of-interest law.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Texas Local Government Code Chapter 176 requires a local government officer, such as a City Council member or department head, to disclose certain business relationships and gifts connected to people or vendors doing business with the city. Form CIS records that disclosure and includes a jurat where an officer administering the oath witnesses the signature, so the statement is sworn before a notary or other authorized officer.
Who needs it
Lumberton city officers, such as council members, board members, or certain city employees, who must disclose a reportable relationship or gift under Local Government Code Chapter 176.
Why it needs a notary
The form includes an 'AFFIX NOTARY STAMP / SEAL ABOVE' block and the statement 'Sworn to and subscribed before me,' so the officer's signature must be notarized for the disclosure to be valid.
How to get this notarized
- 1
Download the Form
Download the Local Government Officer Conflicts Disclosure Statement (Form CIS).
- 2
Complete Your Disclosure
Fill in the officer, relationship, and gift details required by Chapter 176.
- 3
Book an Online Notary Session
Schedule a convenient remote online notarization appointment.
- 4
Verify Your Identity
Present a valid photo ID to the notary during your live video session.
- 5
Sign Before the Notary
Sign the statement on camera while the notary witnesses and completes the jurat.
- 6
File with the City Secretary
Submit the notarized Form CIS to the Lumberton City Secretary's office.
Preview the form
The blank PDF straight from Lumberton. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- Who has to file the Lumberton Conflicts Disclosure Statement?
- A city officer, such as a council or board member, who becomes aware of a reportable business relationship or gift under Local Government Code Chapter 176 must file this sworn Form CIS.
- Do I need to notarize Form CIS?
- Yes, the form has a jurat and an 'AFFIX NOTARY STAMP / SEAL ABOVE' block, so it must be sworn to and subscribed before a notary or other authorized officer.
- How do I get Form CIS notarized online?
- Fill out the form, then book a session with a commissioned online notary who verifies your ID and witnesses your signature by live video.
- Can an out-of-state notary notarize this Texas form?
- Yes, Texas recognizes acknowledgments and jurats from notaries commissioned in other states under CPRC Sec. 121.001; check with the city if you are unsure whether they will accept it.
- Where do I file the notarized statement?
- File the completed and notarized Form CIS with the Lumberton City Secretary's records administrator.