Formulaire

Special declaration of self-delivery outside an economic activity (Form 11114*12)

Cerfa 11114*12 (941-SD)

Declaration to be submitted by individuals who acquire a dwelling in an area that has been agreed with the National Agency for Urban Renewal (ANRU).

The form contains an explanatory note.

    Fill out the form

    To whom shall I send this form ?

    Contact the entity in charge of this form

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of Finance

    Verified 04 June 2019 - Directorate for Legal and Administrative Information (Prime Minister)