Unit
Landlord Rental Registration
Type the street number and street name (Ex: 123 main) and press Enter to search *
Block
Specify which of the following utilities are provided at this property by the Property Owner.
Zone
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
609-347-5525
{[AWEBSITE]}
Lot
Application Type *
Address *
{[CNAME]}
  • Property
  • Contacts
  • Certification
Move in Date
Rent Controlled?
Oil *
Please specify who handles each of the utilities.
Building Name(s)
Electricity *
Gas *
Utilities
Property Type *
Water *
Sewer *
Total # of Buildings on Property *
If Other
Property Details
# of Dwelling Units *
Email
Address
Type
City, State, ZIP
Email
Address
Email
Name
(For 5 or more units, you may choose to attach a Rent roll in the Attachments area of the Certification tab instead.)
Heating Dealer Name
Property Owner
Name
Type
Mailing Address
Realtor Details
Phone #
Please add children and age for all tenants.
Tenant Details
Heating Details
Phone #
Please make sure to fill in “Tenant Details” to be able to submit.
Maintenance Provider
Phone #
Mailing Address
Business Name
Name
Phone #
Name
City, State, ZIP
Phone #
City, State, ZIP
Full Address, City, State, ZIP
Emergency Contact Person Is
Phone #
Name
Emergency Contact
Email
Partnership or Corporation Additional Owners
Heating Grade
Type Full Name :
Sign With Hand
Attachments *
Attachments required: Certificate of Occupancy, Certificate of Land Use Compliance and Lead Certificate.
Certification
INSTRUCTIONS REGARDING POSTING AND NOTICE TO TENANT:

Within thirty (30) days following the effective date of this statute, and at the time of the creation of a new tenancy, every landlord shall provide each occupant or tenant in his dwelling a written statement containing all the infomration required to be filled in accordance with N.J.S.A. 46:8-28.   Commencing thirty (30) days following the effective date herof, the information shall also be posted at all times in the lobby or other conspicuous place on the permises.   In the event that any information contained in this Rental Registration and License Application shall change, the landlord shall advise each occupant or tenant of the charges in writing within thirty (30) days and correct the information posted within seven (7) days after said change.
I undertand the conditions of this application
Applicant Signature *