Old Town House may refer to:
United States 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
Other countries Old Town House, Cape Town, built on Greenmarket Square in 1755 Old Town House, a former name of Scaplen's Court in Poole, Dorset, England