City of Chandler
Short Term Rental Registration
Tax & License Division
Telephone: 480-782-2299
Location address: 175 S. Arizona Ave, Suite A, Chandler, AZ 85225
Mailing Address: MS 701, PO Box 4008, Chandler, AZ 85244-4008
E-mail: licensing@chandleraz.gov
Fax: 480-782-2343
SECTION I. SHORT TERM RENTAL PROPERTY INFORMATION
Owner Name (Entity followed by DBA)
Short Term Rental Location Address
Phone # (Including Area Code)
City
State
Zip Code
Federal ID #/Social Security #
Date Property Became Short Term Rental
State Tax License #
SECTION II. OWNERSHIP INFORMATION
Ownership Type: Individual LLC Corp. Gen. Partnership Ltd. Partnership Other
Owners,
Partners, LLC
Members, or
Officers
(For additional
Names, Please
attach list)
Name
Home Address
City
State
Zip Code
Enter Name if Different from above or Enter Care-of Name
Title
Mailing Address if Different from above
Email Address
City
State
Zip Code
Phone # (Including Area Code)
Corporate or LLC
Statutory Agent
Name
SECTION III. OWNER AGENT (RESPONSIBLE PARTY/BEST CONTACT)
(Must inform of changes within 10 days)
Check if Owner Agent information is same as above
Owner Agent
Email Address
Phone # (Including Area Code)
CERTIFICATION
I certify that the statements made in this registration are true and complete to the best of my knowledge. I accept the
registration authorized and issued in response to this application with the condition that the issuance of this registration
shall not be construed as permission to operate in violation of any law or regulation.
Print Name
Signature
Date
Rev. 10/2020
For official use only
Clear Form