Finalize: APPLICATION FOR RENTAL OPERATING LICENSE

"*" indicates required fields

I. Property Information & Fee Due

Address*
Please enter a number greater than or equal to 1.
Please enter a number greater than or equal to 1.
Price: $0.00
Fee is $75 per unit being inspected.

II. Owner/Property Manager Information

If owner is not a full-time resident within the borough of Verona and/or lives outside a 15-mile radius of the Borough, the owner is required to enlist the services of a property manager who lives within the stated radius and who will control the work/business affairs of the property owner.
Name*
Address*

III. Owner/Property Manager E-Signature

If owner is not a full-time resident within the By signing their name(s) below, OWNER/LANDLORD/MANAGER of the property assumes full responsibility for all ordinances pertinent to owning/renting property in the Borough of Verona.
Please type your full name above to serve as your electronic signature. By signing above, OWNER/LANDLORD/MANAGER of the property assumes full responsibility for all ordinances pertinent to owning/renting property in the Borough of Verona.

Any deliberate misstatement upon the form is prosecutable as an unsworn falsification as provided by S4904 of the PA Crimes Code.