Fillable CITY OF WATERBURY LANDLORD REGISTRATION

Fill Online, Printable, Fillable, Blank CITY OF WATERBURY LANDLORD REGISTRATION Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CITY OF WATERBURY LANDLORD REGISTRATION

On average this form takes 18 minutes to complete

The CITY OF WATERBURY LANDLORD REGISTRATION form is 2 pages long and contains:

  • 0 signatures
  • 7 check-boxes
  • 68 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Waterbury Code §1601.1
Rev. 4/2012
CITY OF WATERBURY
LANDLORD REGISTRATION
Instructions:
This form is to be completed by all non-resident owners of residential rental housing units located within the
City of Waterbury. A non-resident owner of property is any owner of property who does not currently reside at such
property. This form must be completed by a non-resident owner of an occupied or vacant residential rental real
property located within the City. Property owned by the State of Connecticut is exempt, unless the property is
occupied or operated by an entity leasing real property from the State of Connecticut. This form and the Change of
Address form are available, at the City of Waterbury Town Clerk’s office and on the web at www.waterburyct.org -
Government Services - Town Clerk - Landlord Registration Form. Failure to complete and file this form may result in
the imposition of penalties including a fine of up to $1,000.
After October 1, 2012, the Fee For Registration is $25 per property, with a maximum of $50 per Non-resident owner.
The fee for change of address per property is $10, with a maximum of $20 per non-resident owner.
* Attach additional pages as needed
Please indicate if this is: □ initial registration or □ change of Non-resident owner address.
Non-Resident Owner (owner/individual)
________________________________________________________________________________
Last Name, First, Middle Initial
_____________________________________________________________________________ _
Street Address Town/City State Zip code
PO Box Not Accepted
( )______________________( )__________________________________________________
Phone Alternate Phone E-mail
Non-Resident Owner (company/not an individual)
_____________________________________________________________________________ _
Name of non-resident principal/owner (not an individual)
□LLC □Corp. □Trust □Partnership □Other
_____________________________________________________________________________ _
Agent Name Street Address Town/City State Zip code
PO Box Not Accepted
( )______________________( )__________________________________________________
Phone Alternate Phone E-mail
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Mail to: Town Clerk, City of Waterbury, 235 Grand Street, Waterbury CT 06702
(use page 2 for additional properties)
Print
Waterbury Code §1601.1
Rev. 4/2012
Page 2
CITY OF WATERBURY
LANDLORD REGISTRATION
Additional Properties:
Non-Resident Owner (owner/individual)
________________________________________________________________________________
Last Name, First, Middle Initial
Non-Resident Owner (company name/not an individual)
_____________________________________________________________________________ _
Name of non-resident (not an individual)
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Property/Rental: ________________________________________________________________
Address Street #, Street, Unit #
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CITY OF WATERBURY LANDLORD REGISTRATION

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 March 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document