2. New Jersey Department of Community Affairs Division of Codes and Standards 

   Landlord-Tenant Information Service

   REGULATIONS FOR THE LANDLORD IDENTITY REGISTRATION FORM  N.J.A.C. 5:29-1.1

   (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) 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 

4. LANDLORD IDENTITY REGISTRATION STATEMENT ONE AND TWO-UNIT DWELLING REGISTRATION FORM

   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: 

6. 1) Property Address:*
8. 2) Type of Dwelling:

   1. Condo/ Co-op
   2. 1 Family Home
   3. Building/ Multi Family
10. 3) The Record Owners of the Building/ Rental Property/ Business. (Include all general partners in the case of a partnership):*
12. 4) If the Record Owner is a Corporation, the Registered Agent and of the Corporate Officers are as Follows:
14. Name(s) of Registered Agent *

    *If the record owner is not a corporation, please type "Not a Corporation" in the answer field above.

16. Corporate Address
18. 5) If the Record Owner is not located in Bergen County, name a person(s) who resides in the county and is authorized to accept notices and issue receipts for those notices from a tenant, and to accept service of process on behalf of the out-of-county record owner(s):
20. *The addresses of all record owners in the county in which the dwelling is located:
22. 6) The name and address of the Managing Agent is as follows: *

    *If there is no managing agent, please type No Managing Agent in the answer field above.

24. 7) The Superintendent, Janitor, Custodian, or other person employed to provide regular maintenance;*

    *If there is no superintendent, janitor, custodian or other person employed to provide regular maintenance service, please type "No Employee for Regular Maintenance Service" in the answer field above. 

26. 8) The 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 the authority to make emrgency decisions concerning the building, including he making of repairs and expenditures: *
28. 9) All holders of recorded mortgages on the property: *

    *If there is no recorded mortgage on the property, please type "No Mortgage" in the field above.

30. 10) 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 used are as follows:

    *If the building is not heated by fuel oil, please type "No Fuel Oil Heat" in the field above.

    *If the building is heated by fuel oil, but the landlord does not furnish heat, please type "Landlord Does Not Furnish Heat" in the field above. 

32. SEND COMPLETED FORMS TO TENANTS, RENT LEVELING BOARD AND MUNICIPAL CLERKS ONLY

    FORT LEE MUNICIPAL CLERKS OFFICE

    309 Main Street 

    Fort Lee, NJ 07024

    (201) 592-3500 ext. 1505

    Please contact Sylvia Ruiz at the Rent Leveling Board, with regard to the filing of certain forms if you are renting property.

    RENT LEVELING BOARD

    1403 Teresa Drive (Off 10th Street)

    Fort Lee, NJ 07024

    (201) 676-3008

    
    

34. 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.
36. Electronic Signature*
Leave This Blank:


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

    This field is not part of the form submission.

40. Submit

* indicates a required field