Middletown, NY · Delaware County

No notary required

Single Family Rental Permit Application

Property owners use this application to request a City of Middletown permit for a single-family rental property and provide required owner, insurance, and managing agent details.

What this form is

This application requests a permit for a single-family rental property in Middletown and asks for the dwelling location, owner and managing agent information, and details about dogs and insurance. It lists required identification and insurance documents, a $100 check, and a new inspection and permit when tenants change. It also describes the background-check proof required before accepting rent from new tenants.

Who needs it

Owners seeking a single-family rental permit in Middletown need this application and must provide the listed information and required supporting documents.

How to submit it

Send the completed form to DPW, 16 James Street, Middletown, NY 10940, Attn: Brent DeWitt. The form lists a $100 fee payable by check to the City of Middletown.

About notarization

This application is signed and dated without a notary; no notarized or sworn attachment is identified, and the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Single Family Rental Permit Application PDF.

  2. 2

    Complete The Form

    Enter the dwelling location, owner and managing agent information, and answers about dogs and insurance.

  3. 3

    Gather Required Documents

    Include owner picture identification and insurance policy information with the declaration page. Submit a rabies certificate if a dog is on the premises.

  4. 4

    Submit To DPW

    Send the application to DPW at 16 James Street, Middletown, NY 10940, Attn: Brent DeWitt, with the listed $100 check.

Frequently asked questions

Do I need a notary for the Single Family Rental Permit Application?
No. The application has signature and date lines but no notary block. It does not identify a notarized or sworn attachment; the signer signs and dates the form.
How do I submit the Single Family Rental Permit Application?
Send it to DPW, 16 James Street, Middletown, NY 10940, Attn: Brent DeWitt. The form lists a $100 check payable to the City of Middletown.
What documents must the owner provide with the application?
The form requires the owner's picture identification and insurance information, including the policy declaration page. If a dog is on the premises, submit a valid rabies certificate; insurance for dogs over 30 pounds is also required.
What is required before accepting rent from a new tenant?
The form states that the owner must provide written proof of a tenant background check before accepting rent. The check includes credit, criminal, employment, rental database, and current landlord or residence checks.

Need something notarized?

This Single Family Rental Permit Application doesn’t need a notary — but if you have another Middletown form that does, a commissioned online notary can help.