{[PNAME]}
Are there Tenants?
Begin typing address and select from the populated dropdown
Owner Occupied?
Block
Registration Type
Zone
Lot
Property Type
If Other
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://www.maplewoodnj.gov/
Property Details
# of Dwelling Units
Address
  • Contacts
  • Certification
Address
(Individual/Agent who has the authority to make decisions in case of emergency or responsible for making repairs)
City, State, ZIP
Email
Email
Name
Property Owner
Type
Mailing Address
Managing Agent
Phone #
Disclaimer: - Provide names of all tenants including children. - Tenants Name needs to be the name recorded on lease.
Tenant Details
Same as Owner?
Phone #
Name
Phone #
City, State, ZIP
Emergency Contact Person Is
Name
Date of Birth
(The infomation must include the owner-occupant, if the owner lives at the property, and the occupants in the owner-occupied form)
Emergency Contact
Email
Type Full Name :
Sign With Hand
Attachments
Missed Appointment Fee: $25 per missed appointment
Fee Schedule
Fee Late
Late Fee: If any fee is not paid within 30 days of its due date, a late fee surcharge of $30 will be assessed.
If the Owner is a corporation, Partnership, LLC etc., the names, addresses and phone #s of the principals must be provided as an attachment.
Certification
I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false I am subject to punishment.
Annual Registration Fee: $75 per year.
Fee Due
If the owner of the property is 62 years old or older and reside at the property, they are exempt from paying the fee.
Applicant Signature