Rental Property Registration

Rental	Type	Suite	Units

Registration Information

Are you the Owner or an Agent?

Owner Name

Day Phone (include area code)

Cell Phone (include area code)

Fax

Address (No P.O. Box numbers)

City

State

Zip

Agent Name

Company Name

Business Tax

Day Phone (include area code)

Cell Phone (include area code)

Fax

Agent Address (No P.O. Box numbers)

City

State

Zip

Owner Name

Day Phone (include area code)

Cell Phone (include area code)

Fax

Address (No P.O. Box numbers)

City

State

Zip

Add Rental Property

Rental Address

Type of Location

Suite

Number of Units

Rental Registration Amount Due