VACANT/ABANDONED PROPERTYREGISTRATION FORM

VACANT/ABANDONED PROPERTYREGISTRATION FORM
Initial Registration - $500 | 1st Renewal - $1,000 | Second Renewal - $1,500
Subsequent Renewal - $3,000
1. PROPERTY INFORMA TION (A SEPARATE FORM IS REQUIRED FOR EACH PROPERTY)
Property Address:
Block:
Lot:
YesNo
YesNo
2. PROPERTY OWNER INFORMATION
Name:
Mailing Address (no P.O. Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
EMAIL:
example@example.com
3. FINANCIAL INSTITUTION/BANKINFORMATION
Name of Financial Institution/Bank: Name of
Contact Agent:
Mailing Address (no P.O. Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
EMAIL:
example@example.com
4. PROPERTY MAINTENANCE INFORMATION (NEW JERSEY ADDRESSES ONLY)
Name of Maintenance Company:
Name of Contact Agent:
Mailing Address (no P.O. Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
EMAIL:
example@example.com
By submitting this application the applicant certifies that the information provided above is accurate, and agrees to comply with the rules and regulations set forth in Borough Ordinance 2019-20

I, the undersigned, hereby affirm that I am duly authorized to act on behalf of all ownership interest in the above described property; that all the information is true and correct; that all information herein will be updated and submitted to the Borough of Woodland Park that any and all notices, including but not limited to legal service of process or citation, shall be sufficient if actually received and that failure to comply with local codes and ordinances, state sanitary codes and all other laws applicable to this property, is subject to a summons.
Signature of Applicant:
Should be Empty: