WEST YORK BOROUGH Property Information and Tenant Form

WEST YORK BOROUGH

1381 W Poplar St. York PA 17404 Phone (717) 843-6305 Fax (717) 848-2347
Code Enforcement Division

Residential Properety Information Form
Owners Name*
Owners Address*
Cell Phone #*
Property Address*
Email*
example@example.com
Date of Inspection

MonthDayYear
Date
Property Management Information (If Applicable)
Company Name
Property Manager Name
Address

Company Address

Street Address Line 2

CityState

Zip
Contact Information: Office Phone
Property Manager Cell Phone
Property Manager Email Address
example@example.com
Tenant Registration Information

must be completed per ordinance or penalty or fine will be levied
RENTAL #1

Street Address

FLOOR-UNIT #- APPT #

CityState / Province

Postal / Zip Code
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
RENTAL #2

Street Address

FLOOR-UNIT #- APPT #

CityState / Province

Postal / Zip Code
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE

MonthDayYear
Date
RENTAL #3

Street Address

FLOOR-UNIT #- APPT #

CityState / Province

Postal / Zip Code
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE*

MonthDayYear
Date
TENANT NAME

First NameLast Name
CONTACT INFO

PHONE NUMBEREMAIL
OVER 18? * DISABLED *
MOVE IN DATE

MonthDayYear
Date
Signature of Property Owner*

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WEST YORK BOROUGH

Code Enforcement Division

Tenant Registration Information