Amity Township Residential Rental Registration Form

Amity Township Residential Rental Registration Form
Date

MonthDayYear
Date
Owners of all properties possessing one or more rental units shall register these units on a Residential Rental Form provided by the Township by January 31st of each year and within thirty (30) days of change of occupant.

Additionally, all rental units are required to have Life Safety Inspections at Change of Occupancy or before an initial tenancy to receive a Certificate of Compliance. Rental units may also be subject to inspection based on complaints of violations and life safety concerns.
Rental Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rental Unit Community Name (if any)
Number of Buildings
Number of Units
Name of Owner

First NameLast Name
Address of Owner

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner Phone Number

Area CodePhone Number
24-Hour Emergency Phone Number

Area CodePhone Number
Owner Email
example@example.com
Property Manager

First NameLast Name
Property Manager Phone Number

Area CodePhone Number
Tenant's Names - Unit/Apt # - Phone Number
Upload file of tenant's names, unit/apt #s and phone numbers.

Browse Files

Cancelof

Initial Registration Fee (1-4 Units)$50.00

$50 initial registration. $25 yearly renewal.

Registration Renewal (1-4 Units) $25.00

$50 initial registration. $25 yearly renewal.

Initial Registration Fee (5-19 Units)$100.00

$100 initial registration. $50 yearly renewal.

Registration Renewal (5-19 Units)$50.00

$100 initial registration. $50 yearly renewal.

Initial Registration Fee (20-49 Units)$200.00

$200 initial registration. $100 yearly renewal.

Registration Renewal (20-49 Units)$100.00

$200 initial registration. $100 yearly renewal.

Initial Registration Fee (50+ Units)$400.00

$400 initial registration fee. $200 yearly renewal.

Registration Renewal (50+ Units)$200.00

$400 initial registration fee. $200 yearly renewal.

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

I acknowledge I read and understand the Amity Township Rental Unit Inspection Guidelines as outlined on the Amity Township website. www.https://amitytownshippa.com/wp2/rental-registration-inspection/
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