Document Text
--- Document: •Application for Rental Mercantile License Document ---
1
Please type or print clearly
APPLICATION FOR RENTAL MERCANTILE LICENSE
Township Code §164
Please make all checks payable to: Eagleswood Township
146 Division Street
West Creek, NJ 08092
Attn: Zoning Office
1. INITIAL APPLICATION ____________ RENEWAL APPLICATION ____________ CHANGE OF TENANCY ____________
2. Property Address: _________________________________________________ Block: __________ Lot: __________ (PO Box not sufficient)
3. Applicant/Business/Trade Name: ________________________________________________________________________________________
4. Owner’s Mailing Address: ______________________________________________________________________________________________
5. Owner’s Phone Number: Primary _______________________________________, Secondary _______________________________________
6. Owner’s E-Mail Address: ______________________________________________________________________________________________
7. If a Corporation, Name, Address and Phone Number of all general partners: ______________________________________________________
___________________________________________________________________________________________________________________
8. Registered Agent’s Name: ______________________________________________________________________________________________
9. Registered Agent’s Address: ____________________________________________________________________________________________
10. Registered Agent’s Phone Number: Primary ___________________________________, Secondary___________________________________
11. Registered Agent’s E-Mail Address: ______________________________________________________________________________________
12. If fuel oil is used to heat the building and the landlord furnishes the heat in the building, the name and address of the fuel oil dealer servicing the
building and the grade of fuel oil used: ____________________________________________________________________________________
___________________________________________________________________________________________________________________
As to each rental unit, specification of the exact number of sleeping rooms contained in the rental unit and exact number of sleeping accommodations
contained in each sleeping room, identifying each sleeping room specifically by the number and location within the rental unit and by square footage
thereof. In order to satisfy the requirement of this provision, an owner shall submit a floor plan, indicating the square footage of each bedroom
which shall become a part of the registration application and which shall be attached to the registration form when filed with the Code Enforcement
Officer or his designee.
The undersigned does hereby certify that the statements above given are true and to the best of my knowledge, and that I will comply with all lawful
regulations.
____________________________________________________
Print Name
_____________________________________________________
________________________________________
Owner’s Signature
Date
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DO NOT WRITE BELOW LINE, TAX COLLECTOR USE ONLY
There [are/are not] delinquent property taxes or assessments due on above referenced property.
Property taxes/assessments due are paid through ________________________________________________________________________________
_____________________________________________________
Tax Collector or Designee
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
APPLICATION MUST BE FILLED OUT ENTIRELY
PLEASE SEE PAGE 2 FOR DETAILS REGARDING REQUIRED CERTIFICATE OF INSURANCE
Official Use Only
Date Received:
Approved: Denied:
Fee: Check #:
*$25.00 Mercantile License renewal fee is due
the first business day of each New Year.
2
PLEASE SEE PAGE 3 MANDITORY LANDLORD-TENANT REGISTRATION FORM
TO BE COMPLETED WITH RENTAL MERCANTILE APPLICATION
REQUIREMENTS FOR CERTIFICATE OF INSURANCE
Business and Rental Unit Liability Insurance Implementation of P.L. 2022, c.92
P.L. 2022, c.92, signed into law on August 5, 2022, institutes a new minimum liability insurance
requirement for owners of businesses and rental units (whether residential or non-residential).
Such owners will be required to annually register the certificate of insurance in the municipality
where the business or rental unit is located.
Minimum Insurance Coverage
Effective for new insurance policies issued on or after November 3, 2022, the law will require the
owner of a business, or one or more rental units, to maintain liability insurance for negligent acts
and omissions in an amount of no less than $500,000 for combined property damage and bodily
injury to or death of one or more persons in any one accident of occurrence. Such insurance could
be provided as part of policies such as those for commercial general liability, or an umbrella
policy.
3
State of New Jersey, Department of Community Affairs
Landlord – Tenant Registration
To be filed with the Eagleswood Township Municipal Clerk
Name of the owner of premises: _______________________________________________________________________
Address of premise: __________________________________________________________________________
Block ________________________ Lot __________________________ Number of units __________________
Mailing address of the owner of premises: __________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
List name(s) and age(s) of tenant(s): ______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If the address of the owner is not within the county of the rented premises, the name and address must be provided of the
person authorized to accept notices from tenants, issue receipts and accept service of process (legal notices) on behalf of
the owner.
Name, address and phone number of the person authorized to accept service on behalf of the owner (if applicable):
__________________________________________________________________________________________
__________________________________________________________________________________________
If partnership – name, address and phone number of all partners: _____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If corporation – name, address and phone number of all corporate officers: __________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If corporation – name, address and phone number of the registered agent: ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If corporation – name, address and phone number of the managing agent: ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Name, address and phone number of the person employed to provide regular maintenance services: ________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Name, address and phone number of each mortgage holder: _____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If fuel oil is used to heat the building and provided by the Landlord, the name, address and phone number of the supplier
and the grade of fuel used: ______________________________________________________________________
__________________________________________________________________________________________
Phone number ____________________________________ Fuel Grade _________________________________
_______________________________________________________
Signature of Owner Date