Tenant Information

All information must be completed for this form to be accepted by the Borough of Sharpsburg. The owner and the leaseholder must sign to be accepted. Please print clearly.

Address
Adults
Name
Age
 
Children
Name
Age
 
Telephone Numbers of Adult Tenants
Name of Adult
Phone #
 
Date
Date
Borough Ordinance 15-06
Penalty for violation: any violation of this ordinance shall constitute a summary offense punishable upon conviction thereof by a magisterial district judge, by a fine not to exceed six hundred dollars ($600.00) plus costs of prosecution or in default of payment of such fines and costs, by a term of imprisonment not to exceed thirty days, each day of violation shall constitute a separate and distinct offense.