12842 – Certification of Lease and Registration Statement – New Jersey

This form, reissued by Directive #15-23 on August 23, 2023 (CN: 12842), is used in the Superior Court of New Jersey, Law Division, Special Civil Part, Landlord-Tenant section. It is designed for use by plaintiffs or their attorneys to certify details regarding the lease and registration status of a rental property involved in a landlord-tenant dispute. This form ensures compliance with New Jersey’s landlord-tenant laws by documenting essential information about the lease and registration status of the rental property in question.

The Certification of Lease and Registration Statement form is used in the Superior Court of New Jersey, Law Division, Special Civil Part, Landlord-Tenant section. This guide will help you complete the form accurately.

Section-by-Section Instructions

Personal Information

1. • Name: Enter your full legal name.
   • Attorney ID Number: If you are an attorney, provide your Attorney ID Number.
   • Address: Enter your complete mailing address.
   • Telephone Number: Provide a valid phone number where you can be reached.
   • Email Address: Enter your email address.

Case Information

1. • Plaintiff/Landlord: Enter the name of the plaintiff or landlord.
   • Defendant/Tenant(s): Enter the name of the defendant or tenant(s).
   • County: Indicate the county where the case is being filed.
   • Docket Number: Enter the docket number assigned to the case.

Certification Statements

1. • Certifier Identity
     • Check the appropriate box to indicate whether you are the plaintiff/landlord or an attorney licensed in New Jersey.
   • Lease Agreement
     • Select one option to indicate the status of the lease agreement:
       • Attached in full: If the full lease document is attached.
       • Attached in pertinent part: If only part of the lease is attached and the full document exceeds 10 pages.
       • Not the subject of a written agreement: If there is no written lease agreement.
   • Registration Statement
     • Check the appropriate box to indicate the status of the registration statement:
       • Attached: If a copy of the registration statement required by the Landlord Registration Act N.J.S.A. 46:8-27 is attached.
       • Exempt: If the property is exempt from registration under N.J.S.A. 46:8-28.5(b).

Certification and Signature

1. • Date: Enter the date when you are signing the form.
   • Signature: Sign the form in the designated space.
   • Printed Name: Print your name clearly below your signature.

Additional Fields (For Attorney Use)

• Attorney Name: Provide your full name if you are an attorney.
• Party Type: Specify your role in the case.
• Attorney Address: Enter your full address.
• Attorney Phone: Provide your phone number.
• Attorney Email: Enter your email address.
• Docket Number: Re-enter the docket number for verification.

Final Steps

• Review the form to ensure all information is accurate and complete.
• Attach any required documents, such as the lease agreement or registration statement.
• Submit the form to the appropriate court as per the instructions provided by the court or your legal advisor.

Important Notes

• Make sure all statements are true and accurate. False statements can lead to legal consequences.
• Consult with a legal advisor if you have any questions or need assistance with specific sections of the form.