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Annual Property Registration Application
Property Owned: Individual Corporation Partnership Other, Please specify
Type of Property: Single Family Duplex Triplex Quadraplex
Tenancy Status: Rented Family Member
(Is there rent?) Yes No Vacant
Section I: Owner Information This section refers to the owner or owners who hold
title and is required before Registration is approved.
Section II: Management Company If a management company is responsible for the
property, complete Section II in full.
Name of Management Company:
Section III: Responsible Party A responsible party shall be provided if the owner does not
reside within a 75 mile radius of the property. SEE REGISTRATION INSTRUCTIONS REQUIREMENTS
FOR RESPONSIBLE PARTY.
Name of Responsible Party:
Section IV: Listing of All Properties List all properties. List the number of units in each
building in the associated field. If you own a rental property, the number of bedrooms and tenants are to
be listed. If anything other than a single family dwelling (townhome, duplex, apartment(s), etc…), list the
total number you own of units. Fill out a separate block for every parcel.
Please turn over.