boroofnewoxford@comcast.net

boroofnewoxford@comcast.net

Landlord Tenant Report

Landlord Tenant ReportBorough Staff2022-08-31T23:09:44+00:00

Property Owner's Name *

First

Last

Property Owner's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Property Owner's Phone No. *

Rental Address *

Address Line 1

Address Line 2

City

State

Zip Code

**Please indicate apartment number and/or floor**

Previous Tenant's Name *

First

Last

Previous Tenant's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date Vacated *

Current Tenant's Phone No.

List Additional Tenant's Names if any *

If none enter N/A

Current Tenant's Name *

First

Last

Date Occupied *

Signature and Date *

Custom Captcha *

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