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N.J. DCA Landlord/Tenant Information Series — Attorney's Packet, Law & Regulations

Citation
N.J. DCA Landlord/Tenant Information Series — Attorney's Packet, Law & Regulations
Jurisdiction
New Jersey (state)
Source
Official source

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Application (Form T-4)
□ Check off the type of protection for which you are applying
□ In Part A (Personal Information) fill in all of the information requested
□ If you are disabled be sure to include proof of your disability when you return the application
Note: For Hudson County residents only. If you are applying for Protected Tenancy for Hudson
County and you are disabled or 75 years of age or older you do not have to provide proof of
income. You may skip Part C.
□ In Part B (Financial Information) fill in all sources and amounts of income for each member of your
household
□ Provide proof of income for each household member, such as tax returns and W-2s
□ Provide additional information regarding your liabilities where indicated
□ Mail the completed application along with supporting documents and the Tenant’s Affidavit to the
Administrative Agent/Agency at the address listed in Part C on the bottom of the form, by certified mail,
return receipt requested
Tenant’s Affidavit (Form T-5)
□ Fill in your name, address and telephone number where indicated on the top of the affidavit
□ Fill in your name on the first line where indicated
□ Under paragraph number 1 fill in the date you received the Protected Tenancy Packet from the
Administrative Agent/Agency
□ Read and sign the affidavit. Have your signature witnessed and notarized by a notary public or other officer
authorized to notarize legal documents
□ Mail the completed Tenant’s Affidavit along with the Application to the Administrative Agent/ Agency at
the address listed on the bottom of the form, by certified mail, return receipt requested