Robert A

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Teaneck Police Department Township of Teaneck 900 Teaneck Road Teaneck, New Jersey 07666 (201)837-2600

ALARM REGISTRATION Initial Registration Fee: $25.00 Renewal Registration fee: $10.00 Ordinance #1770 provides for the registration of ALL BURGLAR ALARMS within The Township of Teaneck. Fees are established for various types of alarm systems, and service fees are provided for false alarms in excess of three (3) per calendar year; failure to register an alarm system is a Violations may result in disconnection and/or summons being issued. Initial Registration Fee: $25.00 Renewal Registration Fee: $10.00 False Alarm Service Fee: $50.00 (4th through 15th false alarm per year) $100.00 (all additional false alarms per year) PLEASE PRINT CLEARLY AND RETURN WITHIN FIVE (5) DAYS TO: TEANECK POLICE DEPARTMENT MAKE CHECK PAYABLE TO: ALARM BUREAU 900 TEANECK ROAD TOWNSHIP OF TEANECK TEANECK, N.J. 07666 IS YOUR ALARM SYSTEM (check one): Residential _____ or Business _____ NAME: _______________________________________________ Telephone#____________________ Address: _____________________________________________ Teaneck, N.J. 07666 3 EMERGENCY CONTACTS *NOT RESIDENTS*, in order of priority, who are AUTHORIZED to act as custodian in your absence. This includes access to your premises in order to inspect, deactivate and/ or reset your alarm system, make reasonable decision concerning the premises and who are able to assume a custodial responsibility. It is YOUR responsibility to inform the person listed of their expected duties and provide them with means of access and security clearances. 1.___________________________________________Phone#__________________________ 2.___________________________________________Phone#__________________________ 3.___________________________________________Phone#__________________________ ALARM SERVICE COMPANY: ___________________________________________Phone#_________________ Signature of Registrant:__________________________________

OFFICE USE ONLY DATE REC’D:_________________ AMT PAID: ___________________ CHECK # ____________________ ALM CODE: __________________

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