Old Town House

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