Fillable Short Term Rental Registration Fillable Form (The Town of Nags Head)

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Short Term Rental Registration Fillable Form (The Town of Nags Head)

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The Short Term Rental Registration Fillable Form (The Town of Nags Head) form is 2 pages long and contains:

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  • 10 check-boxes
  • 47 other fields

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File type: PDF

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Town of Nags Head
Short-Term Rental Registration
Submittal Date: _____________
Planning and Development
Department
5401 S. Croatan Highway
PO Box 99
Nags Head, NC 27959
252-441-7016: www.nagsheadnc.gov
Page 1
Short-Term Rental Registration Form - 8/23/2019
Short-Term Rental Property Information
**Please use the reverse for additional properties owned/managed;
each separate property requires registration annually by September 1
st
**
Street Address:
Whole House Rental Partial House Rental
Total Number of Bedrooms in the House:
Subdivision:
*Partial House Rentals Only*
PIN #:
Number of Bedrooms Rented:
Parcel #:
Number of Parking Spaces:
For Partial House Short-Term Rentals: 1) the number of parking spaces must equal the minimum required for the
single-family dwelling, plus one additional space for the Short-Term Rental use, and 2) the rental of more than 2
bedrooms may constitute a bed and breakfast, which are subject to different regulations and restrictions.
Property Owner Information
Operator Information, if applicable
Name:
Name:
Mailing Address:
Mailing Address:
Phone:
Phone:
Email:
Email:
Is there a Local Contact that would be available to respond to issues related to the operation of the
property/properties if the Owner or Operator were unavailable?
Name:
Phone:
Email:
Is Liability Insurance Coverage in effect to operate this property/properties as a short-term rental?
Yes No
Acknowledgment
By signing this registration form, I am acknowledging that I am aware of all local and state laws pertaining to the
operation of a short-term rental, including the North Carolina Vacation Rental Act, and the requirement to pay all
sales and occupancy taxes.
Property Owner Signature
___________________________ Date: ______
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Page 2
Short-Term Rental Registration Form - 8/23/2019
Short-Term Rental Property Information - 2
nd
Property
Street Address:
Whole House Rental Partial House Rental
Total Number of Bedrooms in the House:
Subdivision:
*Partial House Rentals Only*
PIN #:
Number of Bedrooms Rented:
Parcel #:
Number of Parking Spaces:
For Partial House Short-Term Rentals: 1) the number of parking spaces must equal the minimum required for the
single-family dwelling, plus one additional space for the Short-Term Rental use, and 2) the rental of more than 2
bedrooms may constitute a bed and breakfast, which are subject to different regulations and restrictions.
Short-Term Rental Property Information - 3
rd
Property
Street Address:
Whole House Rental Partial House Rental
Total Number of Bedrooms in the House:
Subdivision:
*Partial House Rentals Only*
PIN #:
Number of Bedrooms Rented:
Parcel #:
Number of Parking Spaces:
For Partial House Short-Term Rentals: 1) the number of parking spaces must equal the minimum required for the
single-family dwelling, plus one additional space for the Short-Term Rental use, and 2) the rental of more than 2
bedrooms may constitute a bed and breakfast, which are subject to different regulations and restrictions.
Short-Term Rental Property Information - 4
th
Property
Street Address:
Whole House Rental Partial House Rental
Total Number of Bedrooms in the House:
Subdivision:
*Partial House Rentals Only*
PIN #:
Number of Bedrooms Rented:
Parcel #:
Number of Parking Spaces:
For Partial House Short-Term Rentals: 1) the number of parking spaces must equal the minimum required for the
single-family dwelling, plus one additional space for the Short-Term Rental use, and 2) the rental of more than 2
bedrooms may constitute a bed and breakfast, which are subject to different regulations and restrictions.
Staff Use
Registration Fees Paid $ Acceptance: Y N By:
($25 per Short-Term Rental Property)
Registration Number(s): 2019-__
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Short Term Rental Registration Fillable Form (The Town of Nags Head)

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Completed 4 August 2020

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