Type Full Name :

Sign With Hand

Gas Status *

Property Taxes are Delinquent

Fee Schedule

Email *

First Renewal = $1500.00

103 Overlook Avenue
North Haledon, NJ 07508
(973) 427-7793
www.northhaledon.com

Need Rehabilitation ?

Registration Type *

Block

City *

Property is Secured with Locks to Prevent Unauthorized Entry

Second Renewal = $3000.00

Each Renewal After = $5000.00

Water Status *

State

Account #

Initial Fee = $500.00

#of Stories

Square Footage of Building (If commercial)

Maintenance Company *

ZIP *

Residential

Address *

Insurance Company Information

Begin typing address and select from the populated dropdown

City, State, ZIP *

Commercial

Agent Information

Expiration Date

Phone # *

Lot

Certification

Number of Dwelling Units:

Insurance Company

Address

Email *

Property Taxes are Current

City

Phone # *

Fee Due

Qual

ZIP

Owner Information

Agent Name

If yes, what are the plans to correct the deficiency ?

Mailing Street *

Applicant Signature *

Currently undergoing rehabilitation/construction, if so, anticipated date of completion

Owner of Record *

Property Information

Property Address

Property has been unoccupied 6 or more months

Account # *

Unit #

Vacant Property Registration

Utilities

Borough of
North Haledon

Property is Boarded to Prevent Unauthorized Entry

Property Status

I acknowledge that all the statements made herein and accurate and this application will not be accepted as submitted until all the required documents are remitted and all the applicable fees are paid.

Phone # *

Maintenance Provider Information

Property is Fenced to Prevent Unauthorized Entry

State *

# of Garages

Phone #

Electricity Status *

Utility Company *

Date Property Vacant *