FOR OFFICE USE ONLY PARCEL NUMBER: PAYMENT DATE:
PAYMENT METHOD: CHECK NO.: BOND NO.: AMOUNT PAID:
FORECLOSURE/BOND REGISTRATION FORM
FORECLOSURE PROPERTY INFORMATION
ADDRESS: CITY: STATE: ZIP:
PARCEL NUMBER:
OWNER/FORMER OWNER/ MORTGAGER:
CURRENT ADDRESS: CITY: STATE: ZIP:
PHONE: EMAIL:
MORTGAGEE/ENTITY FILING FORECLOSURE
NAME:
ADDRESS: CITY: STATE: ZIP:
CONTACT/REPRESENTATIVE:
PHONE: EMAIL:
FORECLOSURE FILING
CASE NUMBER: FILING DATE: STATUS: OPEN CLOSED
*PLEASE INCLUDE A COPY OF THE FORECLOSURE COMPLAINT
VACANT PROPERTY MAINTENANCE INFORMATION
CITY: STATE: ZIP:
EMAIL:
PERSON/ENTITY MAINTAINING PROPERTY:
ADDRESS:
PHONE:
REGISTRATION FEES
NOTE:
SHOULD THE PROPERTY BECOME VACANT, THE POSTING OF A $10,000.00 CASH BOND IS REQUIRED. 10% OF
THIS BOND SHALL BE RETAINED FOR ADMINISTRATIVE FEES (PER ORDINANCE CHAPTER 1323) AND AN
ADDITIONAL
$1,000.00 WILL BE RETAINED FOR THE HOUSING MARKET REINVESTMENT PROGRAM (PER
ORDINANCE NO. 108-2015).
FORECLOSURE PROPERTY REGISTRATION FEE $100.00 $300.00
VACANT FORECLOSURE PROPERTY BOND $10,000.00 $10,000.00
IN ACCORDANCE WITH THE CITY OF MASSILLON ORDINANCE CHAPTER 1323, BY SIGNING BELOW YOU:
•CERTIFY that the information provided above is accurate, and AGREE to notify the Code Official of any updates
•CERTIFY that the property has been inspected by the Owner/Agent at the time of filing the Property Registration
•AGREE that once a vacant property is registered it will be inspected by a Code Official or their designee.
APPLICANT SIGNATURE PRINTED NAME DATE
SUBMIT CO
MPLETED FORM AND PAYMENT (PAYABLE TO CITY OF MASSILLON) TO:
CODE ENFORCEMENT | 151 LINCOLN WAY EAST, MASSILLON, OH 44646 | PHONE: 330.830.1724
SELECT ONE:
FORECLOSURE REGISTRATION
FORECLOSURE BONDING
