Village Of Elmwood Place Form

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VILLAGE OF ELMWOOD PLACE
PROPERTY OWNER – LANDLORD QUESTIONNAIRE
Individual/Business Name __________________________________________________________________________________
Type of Business:
Partnership
Corporation
Non-Profit
Other_________________________________
Accounting Period: Calendar Year _____________________ or Fiscal Year Ending ____________________________
Contact Person: _____________________________________________ Title: ________________________________________
Mailing Address: ___________________________________________________________________________________________
City: _____________________________________________ State: ____________________ Zip: _______________________
FID# ______________________________ SS# __________________________
Telephone #: Home ____________________________________________ Work ____________________________________
How Many Properties Do You Own In Elmwood Place?
How Many of These Properties Are Rental Properties?
List All Properties owned in Elmwood Place
. (if you need additional space, use a separate sheet of paper)
Property
Property
Property
Property
Property
Property
Address
Address
Address
Address
Address
Address
Date Purchased:
Date Purchased:
Date Purchased:
Date Purchased:
Date Purchased:
Date Purchased:
Is this property
Is this property
Is this property
Is this property
Is this property
Is this property
House
House
House
House
House
House
Apartments
Apartments
Apartments
Apartments
Apartments
Apartments
Commercial
Commercial
Commercial
Commercial
Commercial
Commercial
Vacant Lot
Vacant Lot
Vacant Lot
Vacant Lot
Vacant Lot
Vacant Lot
Other - Explain
Other - Explain
Other - Explain
Other - Explain
Other - Explain
Other - Explain
If Apartments, how
If Apartments, how
If Apartments, how
If Apartments, how
If Apartments, how
If Apartments, how
many units at this
many units at this
many units at this
many units at this
many units at this
many units at this
address?
address?
address?
address?
address?
address?
Rental
Rental
Rental
Rental
Rental
Rental
Personal
Personal
Personal
Personal
Personal
Personal
Residence
Residence
Residence
Residence
Residence
Residence
Other - Explain
Other - Explain
Other - Explain
Other - Explain
Other - Explain
Other - Explain
Owner Signature: __________________________________________
Date: _____________________
For Office Use Only
Rev. 6/01

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