Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Landlord Information Statement

  1. Moorestown, NJ 08057
  2. If there is not more than 1 owner, select none.
  3. Record Owner of Rental Business (if any)
  4. If not applicable, select none.
  5. Select N/A below if not applicable
  6. If the address of Record Owner is not located in the County in which the premises are located (Burlington County), the name and address of a person who resides in, or has an office in, the County in which the premises are located and is authorized to accept notices from a tenant and to issue receipts therefore and to accept service of process on behalf of the Record Owner:

  7. Select N/A below if not applicable
  8. Managing Agent
  9. Select N/A below if not applicable
  10. Individual Employed to Provide Regular Maintenance Service
  11. Select N/A below if not applicable
  12. Includes superintendent, janitor, or custodian

  13. Representative of the Record Owner or Managing Agent

    This is 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 premises or any unit of dwelling space herein, including such emergencies as the failure of any essential service or system and who has the authority to make emergency decisions concerning the building and any repair thereto or expenditure in connection therewith. 

  14. Is the same individual as the Owner of Record?*
  15. Select N/A below if not applicable
  16. 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.
  17. Leave This Blank:

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