Old Town House may refer to:
- Old Town House (Parsonsfield, Maine), a National Register of Historic Places listing in York County, Maine
- Old Town House (Union, Maine)
- Old Town House (Marblehead, Massachusetts)
- Old County Courthouse or Old Town House, in Plymouth, Massachusetts, built in 1749
- Old Town House, a former name of Scaplen's Court in Poole, Dorset, England
- Old Town House built on Greenmarket Square, Cape Town in 1755
This disambiguation page lists articles associated with the title Old Town House.
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