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
Original Source
https://www.nj.gov/dca/codes/publications/pdf_lti/condo_packet.pdf ↗

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2. I consent to independent verification of information and documentation
submitted to the administrative agency/agent by me in support of my
application for protected tenancy status.

3. I certify that all information provided by me in support of my application
for protected tenancy status is true and accurate to the best of my
knowledge. I am aware that any statements made by me that are willfully
false may be grounds for disqualification or termination of my protected
tenancy status and subject me to penalties under the law.

_________________________ __________________________________________
Date Applicant’s Signature

Sworn and subscribed to
before me this day
of 202__

_________________________
Notary Public
 T-6

Tenant Notification Requirement Form
I have received the Protected Tenancy Packet from the administrative agent for
my municipality. I have or will be filing an application for Protected tenancy
status under the:

Check all that apply
□ Senior Citizen and Disabled Protected Tenancy Act
□ Tenant Protection Act (for Hudson County)
Applicant’s Name: ___________________________________________________________

Street Address: _____________________________________________________________

Apartment number: _________________________________________________________

City: _____________________________________ State: __________________________

Zip Code: __________________ County: _______________________________________

Home phone: ________________________ Work phone: ________________________

Name of Building or Project (if any): __________________________________________

__________________________ ____________________________________
Date Signature

Be sure to mail this form to: