ࡱ> FHE`  bjbjss .,Sb||||8d"&ggg%%%%%%%$('h)%{!cg{!{!%||%###{!^|R%#{!%##"#| @YX!^##%0"&#0*7"0*#0*#gL6#, fggg%%O#^ggg"&{!{!{!{!D H H||||||% Borough of Penbrook Status of Occupancy Report Ordinance 2006-1 mandates that landlords report all tenants living in the Borough within 30 days of any change in tenants and before the 10th of January of every year Property Owner(s): _______________________________________________ Address: _______________________________________________________ (STREET, CITY, STATE AND ZIP CODE) Phone Number: Home______________ Cell_______________ Rental Property Address: __________________________________________ (One property per form.) Number of Units: ___________ Date of Report: ____/____/______ Tenant Data: UnitResident*PhoneDate MovedIn or Out*The names of all residents 18 and over must be reported regardless of whether or not they are named on the lease. Certification: The undersigned hereby certifies that the above information is true, accurate and complete. Signature: ____________________________ Date: ____/____/______ Owner Signature: ____________________________ Date: ____/____/______ Owner This form may be copied as often as necessary.     Mail to: Borough Manager, Penbrook Borough, 150 S. 28th Street, Penbrook, PA 17103 '/] \ i j R S T V W Y Z \ ] _ 巬哈zuuuujCJOJQJ^JaJ jUh]CJOJQJ^JaJCJOJQJ^JaJh*CJOJQJ^JaJh c5OJQJ^JCJOJQJ^JaJhrCJOJQJ^JaJCJOJQJ^JaJh*OJQJ^JheH*OJQJ^J OJQJ^J5OJQJ^Jh]5OJQJ^J#/0  ] B   $ $Ifa$ $ a$  $ a$S        I===== $Ifkd$$IflrQT@#< ^ t0#644 la   ! " # I===== $Ifkd$$IflrQT@#< ^ t0#644 la# $ % & ' ( ) I===== $IfkdJ$$IflrQT@#< ^ t0#644 la) * + , - . / I===== $Ifkd$$IflrQT@#< ^ t0#644 la/ 0 1 2 3 4 5 I===== $Ifkd$$IflrQT@#< ^ t0#644 la5 6 7 8 9 : ; I===== $Ifkd9$$IflrQT@#< ^ t0#644 la; < = > ? @ A I===== $Ifkd$$IflrQT@#< ^ t0#644 laA B C D E F G I===== $Ifkd$$IflrQT@#< ^ t0#644 laG H I J K L M I===== $Ifkd($$IflrQT@#< ^ t0#644 laM N . / 0 u IBBBBBB kd$$IflrQT@#< ^ t0#644 lau " # $ S U V X Y [ \ ^ _ $a$ $ a$  h]CJOJQJ^JaJhrCJOJQJ^JaJCJOJQJ^JaJhrCJH*OJQJ^JaJ,1h/ =!"#$% $$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^$$If!vh5<5 555^#v<#v #v#v#v^:Vl t#65<5 555^@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j  Table Grid7:V04@4 Header  !4 @4 Footer  !,/0]B  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMN./0u"#$SUVXY[\^_0@0@0@0000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000@000@0h00@0h00@0h00@0h00@0@0h0000w.T/0]B  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMN./0u"#$h00h00h00h00j00h00h00h00h00h00h00h00h00h00h00h00h00h00h00h00h00h00h000h00h00h00h00h00h00h00h00h00h00h000h00h00h00h00h000h00h0#0h0#0h0#0h0"00h00h0'0h0'0h0'0h0&00`h00h0+0h0+0h0+0h0*00Dh00h0/0h0/0h0/0h0.00"h00h030h030h030h0202!h00h070h070h070h0600h00h00h00h00h00h00h00h00h00h00h00h00h00j00 aaad   # ) / 5 ; A G M u   8  @ 0(  B S  ?ߙ}  }A},}}͖>*urn:schemas-microsoft-com:office:smarttags PostalCode9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity;*urn:schemas-microsoft-com:office:smarttagsaddress:*urn:schemas-microsoft-com:office:smarttagsStreet t:SSUUVVXY[\^_SSUUVVXY[\^_'//?@%%\\]BO-.tRSSUUVVXY[\^SSUUVVXY[\^_  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMN@!P@UnknownGz Times New Roman5Symbol3& z ArialOF Old English Text MT"1(hłfłff  !4dQQ2QHX ?Borough of PenbrookPenbrook BoroughPenbrook BoroughpenbrookOh+'0 ,8 X d p |Borough of PenbrookPenbrook Borough normal.dotPenbrook Borough2Microsoft Office Word@@kRX@޿YX@޿YX՜.+,0 hp|    Q Borough of Penbrook Title  !"#$%&'()*+,-./012346789:;<>?@ABCDGRoot Entry F YXIData 1Table0*WordDocument.,SummaryInformation(5DocumentSummaryInformation8=CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q