Landlord Rental And Property Owner Registration Renewal Form Page 2
ADVERTISEMENT
1
2Landlord Rental and Property Owner
REGISTRATION RENEWAL Application
745 Main St Room 306 P.O Box 69 Niagara Falls, NY 14302
Phone: 716-286-4464 Fax: 716-286-4454
Property Address: ______________________________________________________
Number of Buildings located on parcel: ____________________________________
Single Family Dwelling
Two Family
Three Family
Type Rental Unit:
Four or More Family
Rental Condo
Vacant Building
Mix Use (Commercial/Residential)
Owner Information
:
Individual(s) ______
Corporation ______
(please print)
)
Name:_______________________________________________ Date of Birth: ______________________
(required)
Phone Number:_____________________________ Fax Number:__________________________________
Cell Phone:____________________________ E-Mail Address:____________________________________
Home Address: __________________________________________________________________________
City: ______________________________________ State:_________________ Zip:___________________
Insurance Company / Agent Information: ______________________________________________________
Insurance Company / Agent Information Phone Number: _________________________________________
Corporation Officer/Co-Owner Information
(If Applicable, if more room is needed please attach another sheet)
DO NOT USE A POST OFFICE BOX AS A MAILING ADDRESS
.
Name:_______________________________________________ Date of Birth: ______________________
(required)
Phone Number:_____________________________ Fax Number:__________________________________
Cell Phone:____________________________ E-Mail Address:____________________________________
Home Address:__________________________________________________________________________
(No P.O. Boxes, please)
City:______________________________________ State:_________________ Zip:___________________
Property Manager / Agent Information
(Applicable ONLY IF owner resides outside of Erie or Niagara County)
Name:_______________________________________________ Date of Birth: ______________________
Phone Number:_____________________________ Fax Number:__________________________________
Cell Phone:____________________________ E-Mail Address:____________________________________
Home Address:__________________________________________________________________________
City:______________________________________ State:_________________ Zip:___________________
Owner
Property Manager/Agent
Sign: ____________________________
Sign: ______________________________
(Signature Required)
Print: ____________________________
Print: ______________________________
Date: ____________________________
Date: ______________________________
Owners with more than one residential rental properties in the City of Niagara Falls should copy this
page of the registration form to list additional properties. Additional applications can be obtained online
at
under NEWS & ANNOUNCEMENTS.
Rev. 6/15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life