Housing Registration Form – North York Borough York County

manager@northyork.us

Housing Registration FormNorth York Borough Staff2022-07-20T19:38:19+00:00

Property Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Owner *

First

Last

Address of Owner *

Address Line 1

Address Line 2

City

State

Zip Code

Owner's Phone Number *

Contact Person *

First

Last

Contact Person's Phone Number *

Single Family? *

Number of Units *

Insurance Carrier *

Policy Number *

Agent's Name *

Agent's Phone Number *

ADDITIONAL INFORMATION

Registration Fee must be paid by "Check or Money Order"

Credit Card payments are accepted at the Borough Office with a service fee.

Local Ordinace #11-213 (1)g

If registration fees are not received by March 31, 2021 additional fees may be incurred.

Signature and Date *