Type Full Name :
Sign With Hand
Name of Financial Institution/Bank *
Date of De-Registration
Fee
605 South Wood Avenue, Linden, NJ 07036
Tel: (908) 474-8409
health@linden-nj.org
ZIP
(a) Is the property enclosed and secured from unauthorized entry (boarded-up)?
Vacant/Foreclosing Property Registration/De-Registration
Address *
Date Inspected
In order to complete the registration process the registration fee must be received by Linden within 10 days of submitting the application. As this is the second year of Vacant Property Program, you can only choose either Initial Application or First Renewal.
Financial Institution/Bank Information
Liability Insurance Information
Attachments
Email *
ZIP *
Is there liability insurance on the vacant building(s) in the required amounts as indicated above?
Registration/Renewal Information
State
$5,000.00
City of
Linden
Owner of Record *
Initial Application Fee
Property Maintenance Details
Address
First Renewal
Assessment Value
City, State, ZIP *
Email
(b) Does the property owner intend to restore the property to productive use and occupancy within the next twelve (12) months?
Name of Contact Agent or Representative *
Any Subsequent Renewal
Registration Period is January 1st thru December 31st each year.
Renewals are due by January 15th.
Registrations are NOT prorated or refundable.
Address
Block
Signature
State *
Email *
Property Occupied? *
Every owner of a vacant building is required to acquire or maintain liability insurance in the amount of not less than $300,000 for buildings designed primarily for one- to four-unit residential use and not less than $1,000,000 for any other building.
For any insurance policy acquired and renewed after the building has become vacant, the owner must provide written notice to the Director of Real Estate within 30 days of any lapse, cancellation change in coverage.
NOTE: You are required to attach evidence of insurance such as a Certificate of Liability Insurance or Insurance Declaration Page. Any Registration Statement submitted that does not include such evidence shall not be deemed to be a valid registration, and you will be deemed in violation of the Code for which penalties will be assessed.
Is there a pending foreclosure processing for the property?
De-Registration (Fill out ONLY if De-registering Vacant Property)
Property Owner's or Authorized Agent's Statement
If you wish to de-register the property listed above, please write the reason(s) below. (You may also attach documentation)
Lot
$600.00
Phone #
Registration or Renewal *
Name of Maintenance Company *
Phone #
Mailing Street *
City *
Owner Details
$1,500.00
Name of Contact Agent or Representative
If you are applying for registration, please attach a copy of your insurance. If you are de-registering your property, please attach any supporting documents here.
By my signature below, I certify that I am the mortgagor, mortgagee, owner, trustee or responsible party of the aforementioned property and that the above information is true and correct to the best of my knowledge. I agree to promptly advise the City of Linden, Health Department should any information change from that which was originally submitted on this form. I understand that erroneous, misleading or false information, as well as, any willful misstatement of material fact, may be grounds for fines, liens, enforcement penalties placed on the property and or Placement on the City of Linden Abandoned Property List.
Second Renewal
$3,000.00
Please enter the address from the selected dropdown *
City
Phone #
Every owner of a vacant/foreclosing residential property in the City of Linden is hereby required to register such property and pay a registration fee in accordance with the fee schedule in the section below. Note: Each property having a separate tax block and lot number must be registered separately. The deadline for renewal is January 15th of this calendar year. Once your permit has been issued, its date of expiry is December 31st of this calendar year.
Property Information
Government Agency