Township of Aberdeen, Monmouth County, New Jersey

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LANDLORD REGISTRATION CERTIFICATE
(N.J.S.A. 46:8-26 et seq.)

PRINT THIS APPLICATION AND MAIL TO THE TOWNSHIP CLERK'S OFFICE AT
1 ABERDEEN SQUARE, ABERDEEN, NJ 07747

1. ADDRESS OF PREMISES

 _________________________________________
2. NAME AND ADDRESS OF OWNER (INCLUDE ALL PARTNERS OR CORPORATE OFFICERS)
__________________________________________________________________
__________________________________________________________________
3. NAME AND ADDRESS OF REGISTERED AGENT IN MONMOUTH COUNTY
__________________________________________________________________
__________________________________________________________________
4. NAME AND ADDRESS OF MANAGER OF THE PREMISES, IF ANY
__________________________________________________________________
__________________________________________________________________
5. NAME AND ADDRESS OF MAINTENANCE PERSONNEL, IF ANY
__________________________________________________________________
__________________________________________________________________
6. NAME, ADDRESS AND TELEPHONE NUMBER OF EMERGENCY CONTACT PERSON (FAILURE OF ESSENTIAL SERVICES - DECISIONS ON EMERGENCY REPAIRS)
__________________________________________________________________
__________________________________________________________________
7. NAME AND ADDRESS OF EVERY HOLDER OF A RECORDED MORTGAGE ON THE PREMISES
__________________________________________________________________
__________________________________________________________________
8. NAME AND ADDRESS OF FUEL OIL DEALER SERVICING THE PREMISES AND GRADE OF FUEL OIL
__________________________________________________________________
__________________________________________________________________

__________________________ ______________________________
LANDLORD'S SIGNATURE KAREN VENTURA
MUNICIPAL CLERK
TOWNSHIP OF ABERDEEN
DATE FILED __________________
At the time of filing a Certificate of Registration, the landlord shall provide each occupant or tenant in the premises with a copy of the Certificate of Registration.

After any change in the information required to be included, every landlord shall file an amended Certificate of Registration within twenty (20) days of the change.

Upon the filing of an amendment to a Certificate of Registration, the landlord shall provide each occupant or tenant in the premises with a copy of the amended Certificate of Registration within seven (7) days of filing.

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Township of Aberdeen • One Aberdeen Square • Aberdeen, NJ 07747 • 732-583-4200