Newport Borough Landlord Form

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NEWPORT BOROUGH LANDLORD REPORT FORM (SUBMISSION REQUIRED)

NOTE: Please use a separate form for each rental unit. This form may be copied or you can pick up copies at the Newport Municipal Building, 231 Market Street, Newport, PA 17074.

LANDLORD INFORMATION

Name of Landlord:(Required)
Address of Landlord:(Required)
Address of Rental Unit:(Required)

FORMER TENANT (To Be Filed Within Ten Days of Arrival)

Forwarding Mailing Address:
MM slash DD slash YYYY

NEW TENANT INFORMATION (To Be Filed Within Ten Days of Arrival)

Mailing Address:(Required)
MM slash DD slash YYYY

LANDLORD SIGNATURE/DATE REQUIRED

MM slash DD slash YYYY

***This form may be filed by mail, fax, email, or online submittal.

Website: http://www.newportboro.com/
Fax: (717)567-3754
Email: codeenforcement@newportboro.com

Mail To:
Attn: Borough Secretary
Newport Borough
231 Market Street
Newport, PA 17074