Lead Testing and Rental License Renewals Order Form

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Lead and Healthy Homes Info for Landlords

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Rental Property Lead Certification Law

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Lead Guide

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Landlords are required to test and certify rental properties as lead-safe or lead-free, regardless of a child’s age, in order to:

Execute a new or renewed lease or
Receive or renew a rental license.

Please check what services you’d like Innovate Realty to provide:(Required)

Lead Test

Rental License – New

Rental License – Renewal

Owner Information

Property Owner Name(Required)

Name on the Deed(Required)

EIN or SSN(Required)

Philadelphia Tax Account Number:(Required)

Contact the Department of Revenue if you don’t know it at 215-686-6600

Phone Number(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Property Information

Property Address(Required)

Street Address Address Line 2 City State ZIP Code

Number of Units(Required)

Are they occupied?(Required)

Yes

No

Do we have permission to enter?(Required)

Yes

No

Renewal Only

Rental License Number(Required)

Activity License Number(Required)

Contact the Department of Revenue if you don’t know it at 215-686-6600

Additional Info

Name

This field is for validation purposes and should be left unchanged.

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Main Office

603 County Line Rd,
Huntingdon Valley, PA 19006

New Jersey Locations

204 Creek Road,
Mount Laurel, NJ 08054
(856) 722-9000

39 S Main St Suite 201
Mullica Hill, NJ 08062
(856) 579-7050

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(215) 745-4200