How do I submit the Landlord Report Form?

Send it to the Millersburg Borough Office, Attn: Borough Secretary, at 101 West Street, Millersburg, PA 17061, or email secretary@millersburgpa.org.

When must landlords submit a report?

The form says reports are required within 10 days of an occupancy change, including a vacancy.

Do I need a separate form for each rental unit?

Yes. The form states that a separate form must be submitted for each rental or leased unit.

Millersburg, PA · Dauphin County

No notary required

Landlord Report Form

Millersburg landlords and property owners use this form to report rental-unit addresses and tenant information to the Borough.

What this form is

The Landlord Report Form records a rental unit’s address, landlord or owner contact information, tenant details, and the number of children under 18 living there. The Borough requires a separate form for each rental or leased unit, with a report within 10 days of an occupancy change, including a vacancy. The landlord or owner must provide complete information and attest that it is true and correct.

Who needs it

Landlords or property owners renting or leasing property in Millersburg must submit a separate report for each unit.

How to submit it

Send the completed form to the Millersburg Borough Office, Attn: Borough Secretary, 101 West Street, Millersburg, PA 17061, or email it to [email protected].

About notarization

This form does not require a notary; the landlord or owner attests that the information is true and correct, then signs and dates it.

How to submit this form

1
Download The Form
Download the Landlord Report Form PDF.
2
Complete The Form
Enter the rental-unit address, landlord or owner information, tenant details, and number of children under 18.
3
Review And Sign
Provide all required information, attest that it is true and correct, and sign and date the form.
4
Submit To The Borough
Send the completed form to the Borough Secretary by mail or email using the contact information on the form.

Frequently asked questions

Do I need a notary for the Landlord Report Form?: No. This form does not require a notary. The landlord or owner attests that the information is true and correct, then signs and dates it.
How do I submit the Landlord Report Form?: Send it to the Millersburg Borough Office, Attn: Borough Secretary, at 101 West Street, Millersburg, PA 17061, or email [email protected].
When must landlords submit a report?: The form says reports are required within 10 days of an occupancy change, including a vacancy.
Do I need a separate form for each rental unit?: Yes. The form states that a separate form must be submitted for each rental or leased unit.

Need something notarized?

This Landlord Report Form doesn’t need a notary — but if you have another Millersburg form that does, a commissioned online notary can help.