Fillable VACANT PROPERTY REGISTRATION FORM (City of Massillon)

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VACANT PROPERTY REGISTRATION FORM (City of Massillon)

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The VACANT PROPERTY REGISTRATION FORM (City of Massillon) form is 1 page long and contains:

  • 1 signature
  • 13 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Massillon

BROWSE CITY OF MASSILLON (OH) FORMS

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FOR OFFICE USE ONLY PARCEL NUMBER: PAYMENT DATE:
PAYMENT METHOD: CHECK NO.: AMOUNT PAID:
VACANT PROPERTY REGISTRATION FORM
VACANT PROPERTY INFORMATION
ADDRESS: CITY: STATE: ZIP:
PROPERTY TYPE: RESIDENTIAL COMMERCIAL/INDUSTRIAL
IS PROPERTY SECURED? YES NO
PROPERTY OWNER
NAME: BUSINESS NAME (IF APPLICABLE):
ADDRESS: CITY: STATE: ZIP:
DAYTIME PHONE: EMERGENCY PHONE:
EMAIL ADDRESS:
PERSON MAINTAINING PROPERTY
NAME: BUSINESS NAME (IF APPLICABLE):
ADDRESS: CITY: STATE: ZIP:
DAYTIME PHONE: EMERGENCY PHONE:
EMAIL ADDRESS:
UTILITY STATUS
ELECTRICITY: ON OFF | WATER: ON OFF | WINTERIZED: YES NO
PROPERTY STATUS
IS THIS PROPERTY (CHECK ALL THAT APPLY): FOR SALE FOR RENT FOR LEASE
OTHER (PLEASE EXPLAIN):
DATE LISTED REALTOR NAME AND NUMBER
REGISTRATION FEES
YEAR ONE
YEAR TWO
RESIDENTIAL
$120.00
$240.00
PENALTY NON-REGISTRATION: $500.00
PENALTY NON-REGISTRATION: $500.00
NON-RESIDENTIAL
$240.00
$480.00
PENALTY NON-REGISTRATION:$1,000.00
PENALTY NON-REGISTRATION: $1,000.00
I agree that all standards set forth in Chapter 1331 of the Massillon City Codified Ordinances will be met.
OWNER SIGNATURE DATE
SUBMIT COMPLETED FORM AND PAYMENT (PAYABLE TO CITY OF MASSILLON) TO:
CODE ENFORCEMENT | 151 LINCOLN WAY EAST, MASSILLON, OH 44646 | PHONE: 330.830.1724
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VACANT PROPERTY REGISTRATION FORM (City of Massillon)

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Completed 20 July 2020

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