Application for Annual Residential Rental Certification

BOROUGH OF SCHWENKSVILLE

300 Main St., Schwenksville, PA 19473
APPLICATION FOR ANNUAL RENTAL REGISTRATION
NOTE: OWNER OCCUPIED AND COMMERICAL PROPERTIES ARE EXEMPT FROM THIS REQUIREMENT. IF YOUR PROPERTY HAS MULTIPLE UNITS AND YOU LIVE IN ONE OF THEM, PLEASE STATE THAT IN THE APPLICATION AND DO NOT PAY THE $25 FOR THAT UNIT.

IF THERE ARE ANY QUESTIONS, FEEL FREE TO CONTACT THE BOROUGH AT 610-287-7442.

THANK YOU!
Existing RentalNew Rental
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Name*
Owner's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Owner's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number (24 Hour Emergency Availability)*
Format: (000) 000-0000.
Owner's Email*
example@example.com
Agent's Name & Company
Agent's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agent's Phone Number
Format: (000) 000-0000.
Agent's Email
example@example.com
Phone Number (24 Hour Emergency Availability)
Format: (000) 000-0000.
Name of Rental Community (if applicable)
YesNo
YesNo
Number of Units Being Registered*
YesNo
Number of off-street parking spaces available?*
Total number of bedrooms?*
Individual Service Established through Borough contracted haulerCommunity Dumpster
Unit Designation (Example: A-1, #2)*
Name and Phone Number of Tenant(s)*
Second Unit Designation (Example: A-1, #2)
Name and Phone Number of Tenant(s)
Third Unit Designation (Example: A-1, #2)
Name and Phone Number of Tenant(s)
Fourth Unit Designation (Example: A-1, #2)
Name and Phone Number of Tenant(s)
Fifth Unit Designation (Example: A-1, #2)
Name and Phone Number of Tenant(s)
Sixth Unit Designation (Example: A-1, #2)
Name and Phone Number of Tenant(s)
I attest that all information submitted is accurate and that I will remit $25 per unit to the Borough.

You will be redirected to our online payment portal automatically upon submission.
Owner Name*
Owner Signature*
Date*

MonthDayYear
Date
Approving Initials
Should be Empty:

BOROUGH OF SCHWENKSVILLE

APPLICATION FOR ANNUAL RENTAL REGISTRATION