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Application tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@ya rmouth.ma. us
'J$cifiF fh" Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever before! Simply visit httos://va rmouthma. portal.openqov.com/ to get
started. There, you can effortlessly create your account and conveniently pay the registration fee.
Using this upgraded system, you'll have the power to engage with us throughout the entire process. Not only
can you secureiy communicate with our team, but you'it also gain access to your important documents, the
ability to upload photos, and much morel This improved platform is designed to make your registration
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Monoxide Detectors and verified that they are less than 10 years old: P/ease initial
Contact the Building Department regarding questions on type and location prior to purchasing.
nter,ryieW I 1 22 1 /Smoke-detector-localionhltos://www.varmoulh ma us/Document
Anon refundable application fee of $80 pef UniUfental is required
Rental Certificates expire on December 31'1, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection i[ rcquired, upon receipt of your apphcatioD and fee.
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # d email cannot be rocessed
Rental Property Addressirt iJnto'r *Vr';l Rental Period:
Seasonal Short Term (less than 31 days)VAn nua I
Trash Removal by;
o*nu. X renant-
l.\Rental of:
Duplex Condo ;;;;tHouse noorni&
Propefty Owner Name:
V ,u^o iv-ircr L.Ki-n,Mailing Addressl
Saft<- q..= q"Yra re-(requi red)Prifrary Phon'e No
508, ),tr tat:Alterndte Phone No (required)E-mail Address
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Owner's Representative/Rental
Agent/Aqency Primary Phone No (required)E-mhil Address J
Department in writing when I am no longer renting the property, or I may be
I have read and lam familiar with the Tovvn ofYarmouth Chapter 108 Rental Housing Bylaw. Chapter '104 AntFNoise Bylaw Town of
Yarmouth Shorl lerm Rental Bylaw (rf applcable) and the l,4A State Sanitary Code Chapter ll rMrnrmum Standards of frtness
forHUmanHabitation)allofwhichareaVailableonourWebSite.
Date 1ASign
sa nd I must notity theFurthermore, I
subject tg-fine
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Revised: 10/23/2023
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