City of Hemet
Community Development Department
Code Compliance Division
445 E. Florida Avenue ▪ Hemet, CA 92543
Phone: (951) 765-2339 Fax: (951) 765-2359
www.cityofhemet.org
ABANDONED, VACANT or FORECLOSED PROPERTY REGISTRATION FORM
Complete this Registration Form for each property & return the completed
form with registration fee and Default Inspection Report.
PropertytobeRegistered:
__________________________________
PropertyAddress
_____________________________________________________________________
City State ZipCodeAssessorParcelNumber(APN)
PropertyStatus:
SingleFamilyMulti‐FamilyNumberofUnits:____________
Doesthepropertyhaveapool/spa?
YesNo
Isthepropertyvacant?
YesNoDatePropertyBecameVacant:__________
HasaNoticeofDefaultbeenrecorded?
Yes No________________________
Document# RecordingDa te
DefaultInspectionReportAttached?YesNo
Beneficiary/Beneficiary’sAgent:
_______________________________________________________________________________
NameorCompany/BankNamePhoneNumber
_______________________________________________________________________________
StreetAddressCity State Zip
_______________________________________________________________________________
MailingAddress(ifdifferent) City State Zip
_______________________________________________________________________________
ContactPersonPhoneNumber Email
LocalPropertyManager(within40mileradius):
_______________________________________________________________________________
Company/OrganizationNameCityofHemetBusinessLicenseNumber
_______________________________________________________________________________
MailingAddressCity State Zip
_______________________________________________________________________________
ContactPersonBusinessPhoneNumber 24‐HourPhoneNumber
RegistrationFeesRequired:
Anannualregistrationfeemustaccompanythisform.RegistrationsshallbevalidfromSeptember1
st
throughAugust31
st
ofthefollowingyear.
InitialRegistrationFee:$260.00RenewalRegistration:$73.00ChangeinInformation:NoCost
IncompleteApplicationsCannotBeProcessed
YourpropertyregistrationwillbeprocessedundertheprovisionsofHemetMunicipal CodeSection14‐503.Pleasebeadvisedthatcompliance
withtheprovisionsofSection14‐503doesnoteliminatetheobligationtocomplywithallotherprovisionsoftheHemetMunicipalCode.
Iherebycertifyunderpenaltyof
perjuryunderthelawsoftheStateofCaliforniathatIhavereadandunderstandtheabovestatementandthat
theinformationprovidedaboveistrueandcorrect.
_______________________________________________________________________________
Applicant’sSignaturePrintedNameDate
(ForOfficeUseOnly)
FeeReceived: Yes NoTranCode:1340
FormofPayment:_______________________
Amount:_____________________
FPR:___________‐_____________
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signature
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