Is Dwelling Vacant? *
Certificate of Landlord Registration
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Disclaimer: If a Tenant is a minor, you must specify their age.
Tenant Details
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  • Property
  • Contacts
  • Certification
Move in Date
Address 2
Block
Application Type *
Building Name(s)
Zone
Lock Box #
Lot
Property Type *
# of Bedrooms
Lockbox Location
Total # of Buildings on Property *
If Other
Property Details
# of Dwelling Units *
Address *
Address
City, State, ZIP
Email *
Email
Name
Property Owner
Name
Type *
Mailing Address
Realtor/Registered Agent Details
Phone #
Maintenance Provider
Phone # *
Business Name
Name
Phone #
Phone #
City, State, ZIP
Full Address, City, State, ZIP
Emergency Contact Person Is *
Name
Emergency Contact
Email
Type Full Name :
Sign With Hand
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).
New Rental of a Vacant Property: $200.00 per unit
New Rental of an Occupied Property: $100.00 per unit
Fee Due
Applicant Signature *
If you are requesting an inspection at this time please click this link to complete the CCO application: Click here