Initial Registration Renewal
INDIVIDUAL OWNER INFORMATION
Address of Rental Dwelling Unit: Total # of Units:
Phone: 24/7 Emergency Contact # Work/Cell:
Partnership/Company Name:
Please list the name, business address and phone number of each partner:
Foreign Corporation? (check)
YES NO Place of Incorporation:
Incorporated Uunder Texas State Laws? (circle) YES NO
Local Agent in Charge: Phone Number:
List the name of all officers, directors & trustees
PROPERTY MANAGEMENT COMPANY
Agent’s Name: 24/7 Emergency Contact:
Rental Permit Fee Rate Table
Single-Family Dwelling Units: $50.00/ Per Unit Annually
Duplexes: $50.00/ Per Unit Annually
Multi-Family (3+Units): $25.00 Per Unit Annually
Rental Permit Fee Rate Table (Continued)
Initial Inspection NO CHARGE
Subsequent Re-Inspection(s) NO CHARGE
City of Anna
Community Services
Office: 214-504-5587
Fax: 972-924-2620
Email: kmartin@annatexas.gov
Res
idential Rental
Registration
Application
DATE PAID: ______/______/________
AMOUNT RECEIVED: $ ______________
METHOD OF PAYMENT: [ ] CHECK [ ] MO [ ] CC [ ] CASH
Mail Payments To:
Water Utilities Dept.
P. O. Box 776
Anna, TX 75409
In-Person Payments:
101 S Powell Pkwy
Anna, TX 75409
972-924-2432
Amount Submitted
See Rate Table Below
Change in Tenancy
Mobile Home Parks: $250.00 fee plus $10.00 per lot
Single Family
Multifamily
Mobile Home Park
Check all that apply: