FORTY FORT BOROUGH
LANDLORD/TENNANT REPORTING FORM
Complete and submit this form within 10 days after a new tenant occupies your rental property or the manager is changed. Please refer
to Forty Fort Borough Code of Ordinances §11-504.
Mail forms to Forty Fort Borough, Attn. Code Enforcement, 1271 Wyoming Ave., Forty Fort, PA 18704
PLEASE TYPE OR PRINT ALL INFORMATION:
Rental Property:
Address:
New Manager or Local Contact (if applicable):
Name: Phone #:
Address:
E-Mail:
New Tenants Residing in Landlord’s Property (if applicable):
UNIT #: Primary Tenant:
Other Occupants:
Phone: Pets:
Emergency Contact Name: Phone:
Previous Tenant Name:
UNIT #: Primary Tenant:
Other Occupants:
Phone #: Pets:
Emergency Contact Name: Phone:
Previous Tenant name:
I certify that all information is correct to the best of my knowledge.
(Owner / Manager Signature) (Print Name)
(Date)
