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Landlord Registration
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1-5 Units: $50
6-10 Units: $100
11-25 Units: $175
26 & Above: $250
12 Manor House Court
Eastampton, NJ 08060
Phone # (609) 267-5723
www.eastampton.com
Eastampton Township
Property
Contacts
Certification
Single Family Home
Detached Unit
Apartment
Duplex
Condo
Two Family
Mobile Home
Twin
Other
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Move in Date
Is Dwelling Vacant?
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Oil
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Block
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Water
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Building Name(s)
Zone
Lock Box #
Utilities
Electric
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Lot
Property Type
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# of Bedrooms
Lockbox Location
Total # of Buildings on Property
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If Other
Sewer
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Gas
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Property Details
# of Dwelling Units
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Address
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Corporation
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Other
Owner
Realtor
Other
Electric
Gas
Fuel Oil
Address
Type
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City, State, ZIP
Email
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Heating Dealer Address
Email
Name
Heating Dealer Name
Property Owner
Name
Type
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Mailing Address
Realtor Details
Phone #
Disclaimer: If a Tenant is a minor, you must specify their age.
Tenant Details
Heating Details
Heating Dealer Phone #
Maintenance Provider
Phone #
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Business Name
Name
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Phone #
Phone #
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City, State, ZIP
Full Address, City, State, ZIP
Emergency Contact Person Is
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Name
Emergency Contact
Email
Heating Grade
Submit
Type Full Name :
Sign With Hand
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Done
Attachments
Fee Schedule
Certification
N.J.A.C. 5:29-1.1
5:29-1.1 Applicability
(a) Pursuant to N.J.S.A. 46:8-28 and 46:8-29, the form prescribed by this subchapter is required to be given by landlords to tenants in single unit dwellings and in two – unit dwellings that are not owner-occupied and to be filed in the office of the clerk of the municipality in which any such single unit dwelling or two-unit dwelling is situated.
(b) Tenants in multiple dwellings are required to be given a copy of the certificate of registration filed with the Bureau of Housing Inspection in accordance with N.J.S.A. 55:13A-12, N.J.S.A. 46:8-28 and N.J.A.C. 5:10-1.11. (Contact the Bureau of Housing Inspection, P.O. Box 810, Trenton, New Jersey 08625 (609) 633-6240 for registration applications for buildings with three or more dwelling units).
Fee Due
Applicant Signature
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Age
Tenant Details
Unit
Last Name
First Name
Gender
Building
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