Fillable Certification Of Lease And Registration Statement (NJ Judiciary)

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Certification Of Lease And Registration Statement (NJ Judiciary)

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Form Promulgated by Supplement to Directive #21-21 (09/01/2021), CN 12842
Name:
Attorney ID Number:
Address:
Email Address:
Superior Court of New Jersey
Law Division, Special Civil Part
Landlord-Tenant
Plaintiff/
Landlord
County
v.
Docket Number: LT-
Certification of Lease and
Registration Statement
Defendant/ Tenant(s)
☐ Residential
☐
Commercial
, (Esq.) of full age, being duly sworn according to law,
certify and say
(select one option for each of the following):
1. I am:
☐
the plaintiff/landlord
☐
an attorney at law duly licensed to practice in the state of
New Jersey] in the above-captioned landlord tenant action.
2. The lease that is the subject of this action is:
☐
attached in full
☐
attached in pertinent part
and the full lease document is in excess of 10 pages ☐ not the subject of a written
agreement.
3.
☐
I have attached a copy of any registration statement for the residential rental property
required by the Landlord Registration Act N.J.S.A. 46:8-27.
☐ The property is exempt from registration pursuant to N.J.S.A. 46:8-28.5(b).
I certify that the foregoing statements made by me are true. I am aware that if any of the
foregoing statements made by me are willfully false, I am subject to punishment
Dated
(Signature of Attorney/Self-Represented Landlord)
(Printed Name of Attorney/Self-Represented Landlord)
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Certification Of Lease And Registration Statement (NJ Judiciary)

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Completed 18 February 2022

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