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2. REGULATIONS FOR THE LANDLORD IDENTITY REGISTRATION FORM
   Landlord Registration Guidelines and Paper Form. Continue below to fill out electronically.

   N.J.A.C. 5:29-1.1

   5:29-1.1 Applicability

   (a)    Pursuant to N.J.S.A. 46:8-28 and 46:8-29, the form prescribed by this subchapter is required to be given by landlords to tenants in single-unit dwellings and in two-unit dwellings that are not owner-occupied and to be filed in the office of the clerk of the municipality in which any such single-unit dwelling or two-unit dwelling is situated.

   (b)    Tenants in multiple dwellings are required to be given a copy of the certificate of registration filed with the Bureau of Housing Inspection in accordance with N.J.S.A. 55:13A-12, N.J.S.A. 46:8-28 and N.J.A.C. 5:10-1.11.  (Contact the Bureau of Housing Inspection, P.O. Box 810, Trenton, New Jersey 08625 (609) 633-6240 for registration applications for buildings with three or more dwelling units)

   THE ATTACHED FORM IS TO BE FILED WITH THE MUNICIPAL CLERK AND DISTRIBUTED TO TENANTS IN SINGLE-UNIT DWELLINGS AND IN TWO UNIT DWELLINGS THAT ARE NOT OWNER-OCCUPIED.  (DO NOT SEND THIS STATEMENT TO LANDLORD-TENANT INFORMATION SERVICE) 

   Similar forms may be obtained from private sources.  You may obtain a copy of the form by faxing your request to 
   (609) 292-2839 or by writing to: 

   New Jersey Department of Community Affairs 
   Division of Codes and Standards 
   Bureau of Homeowner Protection 
   Landlord-Tenant Information Service 
   P.O. Box 805 
   Trenton, New Jersey 08625-0805 

   The form of the certificate of Registration to be filed with the municipal clerk and distributed to tenants by owners or non-owner occupied one and two-unit dwellings shall be substantially as follows:

4. Property Address:*
6. The names and addresses of all record owners of the building or the rental business (including all general partners in the case of a partnership) are as follows:*
8. Is The Record Owner A Corporation?*

   1. Yes

   1. No
9. Does the record owner(s) live in the county?*

   1. Yes

   1. No
11. Is there a managing agent?*

    1. Yes

    1. No
12. Is there a superintendent, janitor, custodian, or other person employed to provide regular maintenance service?*

    1. Yes

    1. No
14. Is there a recorded mortgage on the property?*

    1. Yes

    1. No
15. Is the building heated by fuel oil and the landlord furnishes heat?

    1. Yes
    2. No, the building is not heated by fuel oil

    1. The building is heated by fuel oil, but the landlord does not furnish heat
17. If the address of any record owner is not located in the county in which the dwelling is located, the name and address of a person who resides in the county and is authorized to accept notices from a tenant, to issue receipts for those notices and to accept service of process on behalf of the out-of-county record owner(s) is as follows:*
19. The name and address of the managing agent is as follows:*
21. The name and address (including dwelling unit, apartment or room number) of the superintendent, janitor, custodian or other person employed to provide regular maintenance service is as follows:*
23. Contact Information*

    The name, address, and telephone number of an individual representative of the record owner or managing agent who may be reached or contacted at any time in the event of an emergency affecting the dwelling or any dwelling unit, including such emergencies as the failure of any essential service or system, and who has authority to make emergency decisions concerning the building, including the making of repairs and expenditures, is as follows: 

25. The names and addresses of all holders of recorded mortgages on the property are as follows:*
27. If fuel oil is used to heat the building and the landlord furnishes the heat, the name and address of the fuel oil dealer servicing the building and the grade of fuel oil used are as follows:*
29. 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.

    1. I agree.
31. Date*
    Date
32. Electronic Signature*
34. Would you like a confirmation of receipt?*

    1. Yes
    2. No
35. Email Address
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field