Type Full Name :
Sign With Hand
Initial Registration
Sign affixed to building and visible to public, indicating the name, address and telephone number of the responsible party, any authorized agent designated by the responsible party for the purpose of receiving service of process, and the person responsible for the maintenance of the property if different from the property or authorized agent? *
Email *
Agent Name *
First Renewal
Block *
Property Identified As
Amendment to Registration
City, State, ZIP *
Property Owner Information
Phone #
City, State, ZIP
Any change in the information contained on this form must be submitted to the Manville Borough Clerk within 30 days of the change. Failure to submit the changes is a violation and the Responsible Party may be subject to fines pursuant to Section 7 of Ordinance #2016-1173.

Please provide payment payable to Borough of Manville.

I certify that the foregoing statements made by me are true.
Property Type *
Number of Stories
Proof of Liability Insurance pursuant to Section 232-12(3) *
$0.00 - Property is no longer Vacant & Abandonded
Email *
$5000.00 - January 15th each year
Property Details
$3000.00 - In-Compliance Next January 15th
Phone Number
Company Name *
Account Number
Fee Schedule
Applicant Signature *
Address *
Number of Garages
Financial Institution/Bank Information
City, State, ZIP *
{[CITY]}, {[STATE]} {[ZIP]}
Lot *
Registration Fee
Address *
Enclosed and secured from unauthorized entry? *
Email *
City, State, ZIP *
Company Name
Phone # *
Company Name
Copy of Notice detailing your agent/contact# that is to be posted on the vacant and abandoned property pursuant to Section 332-12(2) *
Representative *
Mailing Address *
Name *
Property Address
Address *
The fee and registration shall be remain valid for one year from the date of issuance and shall be renewed on an annual basis if the property remains vacant and abandoned.
Unit #
Fees, if applicable, pursuant to Section 232-11D *
Any Subsequent Renewal
Phone # *
Registration Type *
$1500.00 - Prorated depending on which month
Phone # *
Maintenance Company
Contact Agent
Date of Vacancy *
Square Footage