Fillable RENTAL HOUSING LICENSE APPLICATION (Bay Property Management Group)

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RENTAL HOUSING LICENSE APPLICATION (Bay Property Management Group)

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RENTAL HOUSING LICENSE APPLICATION
Rental Housing License Payments, Room 151
Baltimore County, Maryland
Old Court House 400 Washington Avenue
Towson, Maryland 21204-4665
410-887-6060
THE FOLLOWING MUST BE RETURNED TOGETHER: A Completed application with all information printed, typed, checked, or circled as
appropriate. Also, include applicable lead inspection certificate. Signatures must be original IN BLUE ink. Payment payable to “Baltimore
County, Maryland” attached to payment coupon, completed rental license inspection sheet (completed by licensed home inspector) or
“Registration Exemption Affidavit.”
FEES: (Make checks payable to “Baltimore County, Maryland”)
▪Dwelling unit: Not owner occupied: Per unit/apartment - $50.00 ▪Dwelling unit: Owner occupied and contains 1 or 2 tenants: Per Unit - $ 40.00
▪Dwelling unit: Owner occupied and contains 3 or more tenants: Per Unit - $ 50.00 ▪ Change in Application Information - No Fee
TYPE OF APPLICATION: (Check all that apply)
_____New _____Renewal Change in: _____Property Owner Information _____Managing Operator, Resident Agent, or Trustee Information
Section 1: RENTAL PROPERTY / DWELLING UNIT INFORMATION
You may obtain information on your property account on the Internet at: www.dat.state.md.us and click on “Real Property Data Search”, or on your tax documents.
RENTAL PROPERTY INFORMATION:
Rental Property Address________________________________________________________
_
Zip Code_______________________
Property Account / Parcel No.____________________________________________________
_
Council District__________________
Is this Section 8 Housing? No Yes (please submit proof). Is Section 8 (circle all that apply): Baltimore County Federal State
DWELLING UNIT INFORMATION:
Type of Dwelling: Single Family Duplex Row Home/ Townhouse Other (be specific)____________________________________________
Year Built__________ Number of levels__________ No. of Dwelling Units: 1 2 3 4 5 6 Basement: Yes No
No. of Smoke Detectors____
_
Type of Smoke Detector(s): Hard Wired & Battery Backed Inter-connected per regulation: Yes No
Carbon Monoxide Alarms installed per regulation: ( Circle One) Battery Plug-In Hard Wired
Heating System: Electric Gas Oil Propane Air Conditioning System: Window Unit (s)/ Central Air
Sewage System: Public Private Water Source: Public Private Hot Water Heating System: Electric Gas
Section 2: PROPERTY OWNER’S INFORMATION
PROPERTY OWNER’S INFORMATION:
Property Owner Name___________________________________________________________ Home No._____________________
Cell Phone No.____________________ Work No.____________________ E-mail Address________________________________
Type of Property Owner: Association Corporation Guardian of Estate Individual / Sole Proprietor LLC
Partnership Personal Representative of Estate Trust Other________________________________
Property Owner Address:
__________________________________________________________________________ Zip Code______________________
Mailing Address for Property Owner (if different):
__________________________________________________________________________ Zip Code______________________
Page 1 of 3 of Application
FOR OFFICE USE ONLY
LICENSE # ___________
Ex
p
iration Date
Section 3: MANAGING AGENT/RESIDENT AGENT/TRUSTEE INFORMATION (if applicable)
Managing Agent/ Resident Agent/ Trustee Name: _________________________________________ Phone No.___________________
Address: ________________________________________________________________________ Zip Code____________________
Mailing Address (if different):
_______________________________________________________________________________ Zip Code____________________
Contact Telephone Numbers: Home: ( ) __________________________ Cell ( ) ________________________________
Work: ( ) __________________________ Email Address ________________________________
Section 4: Lead Poisoning Prevention Checklist – (must be completed)
Maryland law requires that all owners of residential rental property comply with the State Lead Poisoning Prevention
requirements.
Please Note:
- You MUST provide the following information before your property will be licensed to operate as a rental facility in Baltimore County.
- Further information regarding Lead Poisoning Prevention and compliance may be obtained through Maryland Department of the
Environment (MDE) online at www.mde.state.md.us or by telephone at 1-800-633-6101 or 410-537-4199.
- Photo copies of Inspection Certificates must be mailed with application for those homes built before January 1, 1950.
1. Was this residential rental property built before January 1, 1950?
Yes No Provide Year Built _________.
*If YES, you must answer the remaining questions. If NO, go directly to Section 5 below.
2. Is this property registered with MDE?
Yes No
*If YES, enter MDE Tracking # ________________________________.
*If NO, please contact (MDE) online at www.mde.state.md.us or by telephone at 1-800-633-6101 or 410-537-4199 for information on
registration requirements. YOU MUST HAVE A VALID TRACKING NUMBER TO REGISTER UNDER THE BALTIMORECOUNTY
RENTAL LICENSING LAW.
3. Is the property registration current?
Yes No
*If NO, please contact (MDE) online at www.mde.state.md.us or by telephone at 1-800-633-6101 or 410-537-4199 for information on
registration requirements.
4. What is your Lead Inspection Certificate # for current tenancy __________________________________
LL
Section 5: Legal Agent
County Law requires all owners to assign a Legal Agent to receive legal service of process. Owners residing in Maryland may designate
themselves. Owners who do not reside in Maryland MUST designate a Legal Agent who resides within the State of Maryland.
Please Note: - The Legal Agent cannot be your tenant (This can be a family member, licensed real estate professional, etc.)
- You must provide the Legal Agent’s Maryland HOME address.
- The Legal Agent MUST sign below to accept responsibility as agent.
Owner designates self as Legal Agent and resides in the STATE OF MARYLAND
(Home address already provided under Ownership information.)
Owner designates the below named Maryland resident as Legal Agent.
Legal Agent’s Name (Print or Type clearly)___________________________________________________________________________________
Legal Agent’s HOME Street Address _______________________________________________________________________
City_________________________________ State __________________________ Zip Code ________________________
Email Address_________________________ Daytime Phone _________________ Cell/Daytime Phone _________________
I understand and accept responsibility as Legal Agent for service of legal process:
____________________________________________________________ _________________
x
Legal Agent’s Signature Date
Page 2 of 3 of application
Section 6: AGREEMENT / DISCLAIMER
I, ______________________________________________________________, solemnly affirm under the penalties of perjury, that the above
(Print Name of Property Owner)
information relating to the dwelling located at ________________________________________________________, is true and correct to the
(Print Property/Dwelling Unit Address and Zip Code)
best of my knowledge, and that I will submit any change in the information relating to the Property Owner, Managing Operator, Resident Agent, or
Trustee, and the property owner’s Designated Agent (for receiving process, notices and any other papers from Baltimore County), not more than 30 days
after the change is made, and that I will comply with the requirements set forth in any correction notice and/or final order issued under 3-6-203 to 3-6-207,
Baltimore County Code, 2003 edition, as amended, within the required time period.
I also certify that there are _____________ dwelling unit(s) on this property and that I agree to allow the code official to inspect these dwelling unit(s).
(Total number of units)
I further understand that any violation of Article 35, Title 6, Section 35-6-101 through 35-6-113, and/or regulations adopted in accordance with, Baltimore
County Code, as amended, may result in the denial, suspension, revocation or non-renewal of the license and/or civil penalties of $25.00 per day for each
day a violation occurs and $200.00 per day for each day a correction notice is not complied with; and that the remedies available under this article are
cumulative and not exclusive, and that there will be a $1,000.00 fine for not complying with the Rental Registration Law.
Signature of the Property Owner: ________________________________________________________________________ Date______/______/______
OWNER, DID YOU REMEMBER TO:
NOTE: Separate Baltimore County law prohibits more then two unrelated adults from living together
unless the county authorizes the unit as a room or boarding house.
ROOMING OR BOARDING HOUSE – A building (a) which is the primary residence of the owner and in
which rooms are provided for compensation to three or more adult persons not related to the owner by
blood, marriage, or adoption; (b) which is not the owner’s residence and which is occupied in its entirety
by three or more adult persons not related to each other by blood, marriage, or adoption, (B.C.Z.R. 101),
MUST have a use permit.
The Rental Housing License is purely governmental in nature, and may not be construed as providing
any warranty or representation concerning the condition of the dwelling unit to the tenant or the public,
or that the premise is in compliance with all applicable county, state and federal laws and regulations.
(Property owner must comply with all Baltimore County Building, Fire and Zoning regulations).
Page 3 0f 3 of Application
PAI CER3 REV 11/11
Sign the application?
Designate a Legal Agent in Maryland?
Enclose License Fee and Payment Coupon made payable to Baltimore County,
MD? Enclose Photocopy of Lead Inspection Certificate? Enclose Carbon Monoxide Affidavit? Enclose Exemption Affidavit if applicable.
and signed
Rental License Inspection Sheet
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RENTAL HOUSING LICENSE APPLICATION (Bay Property Management Group)

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Completed 28 June 2021

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