HomeMy WebLinkAboutRental Application2025 Rental Registration ApplicationI
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TOWN OF YARMOUTH
Health Depa rtmerlt
I I46 ROTITE 28. SOI'TH YARMOUTH
MASSACH(ISI]TTS 0266.7
Telephone (508) 39t-22Jt. ext. t240
Fax ( 508) 760-3472
E-mail: m dalevAl'a rmouth. ma. us
Important Notice (PLEASE READ CAREFULLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediatelyl Please be aware that until you receive a rental certificate from the Health Department, your
property is being rented without a valid certificate, which may result in fines and other penalties.
Submitting the registration application does not complete the process or guarantee the automatic issuance of
a rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
records, septic system, the number ofbedrooms and previous inspections.
*An inspection may be required as part ofthis process.
Please note that occupancy limits are in place based on septic capacity and the number of
bedrooms, These measures are in place to protect our drinking water and aquifers. As
Yarmouth prepares for a future transition to a town sewer system, tlese steps are crucial
for preserving our water resources. Previous occupancy determinations may be subiect to
adiustment based on the criteria mentioned above.
Io
. A rrcrrrefundable application fee of $80 per unit/rental is required
. Rental Certificates expire on December 31sr, 2025.
. To register online and pay via credit card, visit the Town of Yarmouth Health Department
your application online. After completing the initial sleps, make your check payable to the Town of
Yarmouth, and be sure to include your BHR number (which will be provided during the online
application processl and your rental address. Make a note in the notes section that you will be
sending a check. Mail the check to the address above.
If NOT registering online, please make checks payable to: Town of Yarmouth and mail
completed application (on reverse side) & payment to: Town of Yarmouth Health Department.
See Reverse Side )
you prefer to pay by check, you may beginarmouth.ma.us/ 727 /Health lfwebsite: https://www.v
owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors4qa
Monoxide Detectors and verified that they are less than 10 years old: Piease initiol,
Cootac the Buildin8 Depa rtment retard ing q uestions on rype and localion prior to purchasi ng.
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Please Print Clearly
Rental Property Information
All fields are required! lncomplete forms withou t o volid phone #, oddress, or e-mail address will not processed.
Rental Property Address
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Furthermore, I understand I must notiry the Health Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees.
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