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Landlord Registration Form

  1. Is The Record Owner A Corporation?*
  2. Does the record owner(s) live in the county?*
  3. Is there a managing agent?*
  4. Is there a superintendent, janitor, custodian, or other person employed to provide regular maintenance service?*
  5. Is there a recorded mortgage on the property?*
  6. Is the building heated by fuel oil and the landlord furnishes heat?
  7. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  8. Leave This Blank:

  9. This field is not part of the form submission.