Minerva, NY · Essex County

No notary required

Long-Term Renter Transfer Station Permit – Landlord Form

Property owners and landlords complete this form to provide Minerva with rental property and tenant information for a transfer station permit.

What this form is

The property owner or landlord completes this form for a long-term rental property. It asks for the owner’s name, rental address, phone number, number of rental units, signature, and renter names and mailing addresses. Submit one form for each rental location, and submit a new application when tenants change.

Who needs it

Property owners or landlords with long-term rental buildings complete one form for each rental location.

How to submit it

Return the application or tenant changes to 5 Morse Memorial Hwy, Minerva, NY 12851. For questions, call Town Hall at 518-251-2869.

About notarization

This document is signed without a notary; the property owner or landlord signs the form, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Long-Term Renter Transfer Station Permit – Landlord Form.

  2. 2

    Complete Property Details

    Enter the property owner name, rental address, phone number, and number of rental units.

  3. 3

    List Tenants And Sign

    Provide renter or tenant names and mailing addresses, then sign the form.

  4. 4

    Return The Form

    Return the application or tenant changes to 5 Morse Memorial Hwy, Minerva, NY 12851.

Frequently asked questions

Do I need a notary for the Long-Term Renter Transfer Station Permit Landlord Form?
No. The form has a property owner signature line and does not require a notary; no notarized or sworn attachment is mentioned.
How do I submit the landlord form?
Return the application or tenant changes to 5 Morse Memorial Hwy, Minerva, NY 12851. For questions, call Town Hall at 518-251-2869.
Who completes this form?
The property owner or landlord completes it. The form asks for property details and renter or tenant names and mailing addresses.
Do I need a separate form for each rental property?
Yes. The form says to complete one form per location if you own multiple long-term rental buildings.

Need something notarized?

This Long-Term Renter Transfer Station Permit – Landlord Form doesn’t need a notary — but if you have another Minerva form that does, a commissioned online notary can help.