Who must file the Designation of Responsible Agent Application?

Owners of residential property in Williamsport who live outside Lycoming County must designate an agent who lives or maintains a place of business within the county.

What information does the application request?

It asks for the property address, property owner and designated agent contact information, and signatures from both parties.

Do I need a notary for the Designation of Responsible Agent Application?

No. The application has signature lines for the property owner and designated agent and does not list a notarized or sworn attachment.

How do I submit the application?

Complete and sign it with the designated agent, then return it to the Bureau of Codes at 1500 West 3rd Street, Williamsport, PA 17701, within 30 days.

Williamsport, PA · Lycoming County

No notary required

Designation of Responsible Agent Application

This application lets residential property owners living outside Lycoming County designate an agent to receive City of Williamsport notices and communications.

What this form is

The application designates an agent to receive notices and communications needed to enforce the Proper Maintenance Code. The city requires residential property owners who live outside Lycoming County to name an agent who lives or maintains a place of business within the county. It requests the property address, owner and agent contact information, and both parties’ signatures.

Who needs it

Owners of residential property in Williamsport who live outside Lycoming County must name a responsible agent who lives or maintains a business there.

How to submit it

Return the completed, signed application to the Bureau of Codes at 1500 West 3rd Street, Williamsport, PA 17701, within 30 days.

About notarization

This application is signed without a notary; the form lists signatures for both the property owner and designated agent and names no sworn attachment.

How to submit this form

1
Download The Application
Download the Designation of Responsible Agent Application PDF.
2
Complete The Form
Enter the property address and the property owner’s and designated agent’s contact information.
3
Gather Attachments
The form does not list any attachments; have both the property owner and designated agent sign it.
4
Submit To The City
Return the completed application to the Bureau of Codes within 30 days.

Frequently asked questions

Who must file the Designation of Responsible Agent Application?: Owners of residential property in Williamsport who live outside Lycoming County must designate an agent who lives or maintains a place of business within the county.
What information does the application request?: It asks for the property address, property owner and designated agent contact information, and signatures from both parties.
Do I need a notary for the Designation of Responsible Agent Application?: No. The application has signature lines for the property owner and designated agent and does not list a notarized or sworn attachment.
How do I submit the application?: Complete and sign it with the designated agent, then return it to the Bureau of Codes at 1500 West 3rd Street, Williamsport, PA 17701, within 30 days.

Need something notarized?

This Designation of Responsible Agent Application doesn’t need a notary — but if you have another Williamsport form that does, a commissioned online notary can help.