What information does the Landlord Registration form request?

It requests the landlord’s name, address, and phone number, plus rental unit addresses, adult occupants’ names, number of minors, and years at the address.

Do I need a notary for the Landlord Registration?

No. The form is signed without a notary. Additional rental units can be listed on separate sheets.

Connellsville, PA · Fayette County

No notary required

Landlord Registration

Connellsville landlords use this form to register rental units and provide landlord, property, and occupant information to the city.

What this form is

The Landlord Registration form collects the landlord’s name, address, and phone number, along with rental unit addresses and information about adult and minor occupants. It provides spaces for up to nine units, and additional units can be listed on separate sheets. The form does not state when registration is required; it directs landlords to mail the completed form and payment to the city.

Who needs it

Landlords registering rental units in Connellsville can use this form to provide property and occupant details to the city.

How to submit it

Mail the registration to City of Connellsville, 110 North Arch Street, Connellsville, PA 15425. The cost is $10 per unit; checks or money orders are payable to City of Connellsville.

About notarization

This document is signed without a notary; additional rental units may be listed on separate sheets.

How to submit this form

1
Download The Form
Download the Landlord Registration PDF.
2
Complete The Registration
Enter the landlord’s contact information, rental unit addresses, and requested occupant details.
3
List Additional Units
If needed, list additional rental units on separate sheets.
4
Sign And Mail
Sign the form and mail it with payment to the city address shown on the form.

Frequently asked questions

What information does the Landlord Registration form request?: It requests the landlord’s name, address, and phone number, plus rental unit addresses, adult occupants’ names, number of minors, and years at the address.
How do I submit the Landlord Registration?: Mail it to City of Connellsville, 110 North Arch Street, Connellsville, PA 15425. The cost is $10 per unit; checks or money orders should be payable to City of Connellsville.
Do I need a notary for the Landlord Registration?: No. The form is signed without a notary. Additional rental units can be listed on separate sheets.

Need something notarized?

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