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Tenant Identification Form
Pursuant to Ordinance #68, landlords are required to list all rental or rentable units and tenants thereof. This ordinance is to provide for the uniform and equitable distribution of the tax levies in the township.
PLEASE COMPLETE AND RETURN WITHIN FIFTEEN (15) DAYS. FAILURE TO RETURN THIS FORM OR OTHERWISE COMPLY WITH ORDINANCE #68 WILL RESULT IN A MINIMUM FINE OF $600
Owner Name
*
First
Last
Suffix
Owners Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Address of Leased Premises
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone
*
###
-
###
-
####
Email
*
Tax Map Parcel Number
*
Please enter your TMP number. This number can be found on your annual tax bills.
Please give a brief description of unit(s)
*
Current Tenants
Unit 1
*
*QFM units only*
Relationship to landlord
Unit 2
Relationship to landlord
Unit 3
Relationship to landlord
By entering my name below I certify this information to be true and correct
*
First
Last
Suffix
Date
*
MM
/
DD
/
YYYY
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