Residential Commercial Mixed Use

Initial Year 2nd Year 3rd Year 4th Year 5th Year Deregister

Vacant Abandoned/Vacant Non-Foreclosed Foreclosed – Occupied Foreclosed – Abandoned/Vacant Under Construction

Yes No

Yes No

Yes No

Yes No

On Off

On Off

On Off

Abandoned/Vacant Non-Foreclosed	$5000
Foreclosed - Occupied	$500
Foreclosed - Abandoned/Vacant	$2000
Vacant $5,000	$5000
Under Construction $5,000	$5000

Is a sign (minimum 8"x10") affixed to the building specifying the name, address, telephone number of the owner, owner's authorized agent(s) and person responsible for daily supervision and management of the building? *

Email *

Water

Maintenance Person Name *

Address

Please be advised that In order to proceed all payments should be made to the Borough of Leonia.

Number of Units *

Status (On/Off) *

Block *

Property Identified As *

City, State, ZIP

Property Owner Information

Phone #

City, State, ZIP

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 under the penal provisions of the "Rehabilitation of Abandoned Property" Ordinance No. 2020-08.

You can review ordinance details at the Borough website here: https://www.leonianj.gov/home/showpublisheddocument/1418/637235906856970000
Please see the amended ordinance reflecting changes to fee schedule: https://www.leonianj.gov/home/showpublisheddocument

If "No", enter the correct Property Owner information below.

Property Type *

City, State, ZIP *

Number of Stories *

Institution Name

Is the name and mailing address for the Property owner listed above correct? *

Email *

Property Details

Property Owner Contact Information

Occupant Name

Phone #

Company Name

Account #

Certification

Annual Fee Schedule

Name *

Applicant Signature *

Address

Does the owner intend to restore the property to productive use and occupancy within the next twelve (12) months? *

Number of Garages

Financial Institution/Bank

City, State, ZIP *

Contact Name *

Gas

Is the property currently enclosed and/or secured from unauthorized entry, e.g. windows/doors/boarded? *

Lot *

Amount Due

Vacant Property Registration

Contact Email *

Address *

Email *

City, State, ZIP *

Company Name

Phone # *

Email

Company

Agent/Representative Name *

Mailing Address *

Name *

Agent/Representative

Property Address *

Type the Address of the Vacant Property *

Unit #

Utilities

Contact Phone # *

Phone # *

Registration Type *

Emergency 24 Hour Contact

Phone # *

Maintenance

Representative Name

Electric

Property Acquirement Date *

Mailing Address (No PO Boxes) *

Date Occupied

Square Footage