Fillable Request For Residential Warrant Of Removal (NJ Judiciary)

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Request For Residential Warrant Of Removal (NJ Judiciary)

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Effective 09/01/2021, CN 12836 page 1 of 2
Name:
Attorney ID Number:
Address:
Email Address:
Superior Court of New Jersey
Law Division, Special Civil Part
Landlord-Tenant
Plaintiff
County
v.
Docket Number: LT-
Civil Action
Request for Residential
Warrant of Removal
Defendant
I,
, am requesting a Warrant of Removal be issued in this
matter and hereby certify and say:
1. I am the (check one):
☐
landlord,
☐
general partner of the partnership or
☐
authorized
officer or agent of a corporation or limited liability company that owns the premises in
which tenant(s) resides in this matter.
2. On , a landlord/tenant summary dispossession action was filed in the Special
Civil Part of the Law Division.
3. A Judgment for Possession (check one):
☐
by consent,
☐
after breach,
☐
after default or
☐ at trial was issued in this action on
4. Select one:
☐
The rental property that is the subject of this lawsuit is subject to the CARES Act,
15 USC 9057 and 9058.
On , I provided the tenant(s) with 30 days’
notice to vacate the property pursuant to Section 4024(c) of the CARES Act via
OR
☐
The rental property that is the subject of this lawsuit is not subject to the CARES
Act.
I submitted CARES Act certification on and no 30-day notice is
required.
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Effective 09/01/2021, CN 12836 page 2 of 2
5. I am aware that I have a continuing obligation under Rule 1:4-8 to amend this certification if
a reasonable opportunity for further investigation or discovery indicates that any of the
above may be incorrect.
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 Landlord, Partner, Agent or Officer)
(Printed Name of Landlord, Partner, Agent or Officer)
s/
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Request For Residential Warrant Of Removal (NJ Judiciary)

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Completed 18 February 2022

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