Hackensack, MT · Bergen County
Application for Qualified Senior Tenant Status
Hackensack renters who meet the age requirements use this application to request designation as a qualified senior tenant under the city’s rent stabilization regulation.
What this form is
This application lets eligible renters in units regulated by Hackensack’s Rent Stabilization Ordinance request qualified senior tenant status. It asks for residence and household information, proof of identity and age, income documents, and a signature certifying the declarations. Surviving spouses must also attach the late spouse’s death certificate; the form states an annual household income limit of $62,531.
Who needs it
A renter in a unit regulated by Hackensack’s Rent Stabilization Ordinance who is at least 62, or a surviving spouse who is at least 50, may apply.
How to submit it
Submit the completed application and attachments to the Building Department, City of Hackensack, 216 Union Street, Hackensack, NJ 07601. The form lists (201) 646-3920 for questions.
About notarization
This document is signed without a notary; the applicant’s declarations are treated as made under oath and are subject to penalties if falsified.
How to submit this form
- 1
Download The Application
Download the Qualified Senior Tenant Status Application.
- 2
Complete The Application
Enter your residence, contact, household, and rent-payment information, then sign and date the certification.
- 3
Gather The Attachments
Include identity and age proof, applicable income records, and a late spouse’s death certificate if applying as a surviving spouse.
- 4
Submit To The Building Department
Send the completed application and attachments to 216 Union Street, Hackensack, NJ 07601.
Frequently asked questions
- Who can apply for qualified senior tenant status?
- A renter in a unit regulated by Hackensack’s Rent Stabilization Ordinance may apply at age 62 or older. A surviving spouse may apply at age 50 or older.
- What documents should I attach?
- Attach proof of identity and age, income documents, and, for surviving spouses, a copy of the late spouse’s death certificate. The form also requests tax-return pages when applicable.
- Do I need a notary for the Qualified Senior Tenant Status Application?
- No. The applicant signs and dates the application without a notary. The form says the declarations are treated as made under oath and are subject to penalties if falsified.
- How do I submit the application?
- Submit the completed application and attachments to the Building Department at 216 Union Street, Hackensack, NJ 07601.
Need something notarized?
This Application for Qualified Senior Tenant Status doesn’t need a notary — but if you have another Hackensack form that does, a commissioned online notary can help.