Type Full Name :
Sign With Hand
Property Information
In the event of an emergency at the property, who can we contact?
Inspection Time *
How is this property heated?
Full Address, City, State, ZIP *
Attach a simple floor plan sketch of the rental premises. If application type is a property of sale, then attachments are not required.
Click on the Select Files... button, select the appropriate file(s) and click Open to complete.
Is Applicant Owner of Record or Agent? *
Last Name *
If Fuel Oil is used, please include name address and phone number of oil provider.
Do we have permission to access the lockbox?
Phone #
Building Type *
Application Type *
Phone # *
Inspection Date *
Please only select Mon/Thurs for Property of Sales (4:30pm-5:30pm) or Tues/Thurs for rentals (10am-12pm).
Mailing Address *
Required Documents
Applicant Information
Name of Oil Provider
Complete Name *
Emergency Contact Information
Specify unit number, full legal name, age and gender of all tenants (including children) living in the premises.
Tenant Information
I submit the following information in reference to N.J.S.A 46:8-28 regarding the above referenced property. I certify the information to be true and accurate.
*Fees are due within 30 days of submission, otherwise late fees will be applied.*
301 Christiana St
Brooklawn, NJ 08030
(856) 456-0750
Address 2
Property Registration
First Name *
If the property is owned by a rental business, partnership, LLC, Corporation or other business relationship, provide the names of all general partners.
Amount Due
Additional Phone #
Begin typing address and select from the populated dropdown
Heating Information
Additional Phone #
Borough of
Phone #*
Property of Sale: $65
Residential Rental: $100
Commercial Rental: $120
Full Address, City, State, ZIP
Property Type *
Fee Schedule
City, State, ZIP *
Lockbox #
Property Address *
Who will be present for the inspection?