Type Full Name :
Sign With Hand
A copy of this information shall also be filed with the Building Department of the Borough of Atlantic Highlands.
City, State, ZIP
1) By Cash, Check or Credit Card On-Site at Borough Hall
100 First Avenue, Atlantic Highlands, NJ 07716
Tel: (732) 291-1222 | Fax: (732) 291-9725
www.ahnj.com
Email *
Landlord Registration
Statement
Is Fuel Oil used? If "Yes," provide the name and address of the supplier. *
Complete Name
Payment
Oil
2) By Check in the mail. Please make sure to note the application reference number on the check. Instructions can be found in the email confirmation of this application.
Complete Name
Owner of Record
Complete Name
Is the Emergency Contact person the same as Property Owner listed above? If "No" please fill out the section below. *
*Note that payment must be received in full before a business registration certificate can be issued.
Block
Begin typing address and select from the populated dropdown *
Mailing Address
3) By Credit Card Online. Instructions can be found in the email confirmation of this application.
Utilities
Water
Fuel Oil Service
Full Address, City, State, ZIP
Applicant Signature
Maintenance Provider
Phone # *
Zone
Complete Name
Phone #
Electric
Lot
Property Type *
Full Address, City, State, ZIP
Is the Maintenance Provider the same as the Property Owner above? If "No" please fill out below. *
Fee Due
Full Address, City, State, ZIP
Phone #
# Units Leased
Full Address, City, State, ZIP
Payment Type *
Pursuant to the terms of N.J.S.A. 46:8-27, et seq., the following information is being supplied to the tenant.
Is the Managing Agent the same as the Property Owner above? If "No" please fill out the section below. *
Gas
One & Two Family Residence
Managing Agent
Property Information
Payment can be made:
Complete Name
# Units Owned
Borough of
Atlantic Highlands
Emergency Contact
Address