Type Full Name :
Sign With Hand
ZIP
City
Number of approved/legal bedrooms *
New Occupant Details
Garage
Provide details of all new occupants
Landlord Registration
Property Owner Details
Phone #
Type *
Signature *

By signing below, I the owner certify that all of the information provided in this application is true and accurate. I certify that this dwelling and all other structures on the property meet the zoning requirements of the {[CNAME]} I attest to the fact that no rubbish/debris/bulk garbage will be left on this property prior to new occupancy. I understand that failure to comply will result in retraction of the {[PNAME]} and a summons will be issued. I understand that this applies to all properties that fall within the {[CNAME]}.

Please attach your Lead-Safe Certificate Law requires all landlords of every single family, 2-family, and multi-family rental to provide a current Lead Safe Certificate for each rental turnover for all properties built prior to 1978.

City
Business Type
Ownership Type *
Contact Person Details
Address *
First Name
(For Rentals Only)
Is the property registered?
Email
Name
Last Name
I accept the terms of Certification
Lot
State
Email *
New Owner Information
Block
Begin typing an address and hit enter or click the magnifying glass to select from the populated dropdown *
Deck
Fence
Address
Name
Number of Units (if multi-family) *
Email
Application Details
ZIP
Company
Closing Date (If Applicable)
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(732) 530-2764
{[AWEBSITE]}
Phone #
Property Details
Who should we contact for inspections?
Certification
(For Sales Only)
Shed
Total # of Principles
Any properties that are owned by a LLC must list all principles below
Email
Name *
Address *
Resale/Rental Certificate
Amount Due
Agent Details (if applicable)
Property Type (if being sold) *
Address 2
Address
Finished Basement
State
Pool
City, State, ZIP *
Specify if any of the following accessory structures exist at this address
Phone # *
Phone #