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Landlord Information Statement

  1. 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:

  2. Includes superintendent, janitor, or custodian

  3. 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.

  4. Leave This Blank:

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