2006 Rental Property Owners' Report - State Of Virginia

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Office of the Commissioner of Revenue
2100 Clarendon Blvd., Suite 208
Arlington, VA 22201
Telephone 703-228-3060
business@arlingtonva.us
2006 Rental Property Owners’ Report
This side is for Both Residential and Commercial Properties
Please return this form by March 1, 2006
Name as shown on Business License _________________________________
Business License Account Number ___________________________________
Address of building covered by this report ______________________________
Use separate report for each street address. Make copies as needed, or contact our office for
additional copies.
Is this property (check one):
Residential only
Commercial only
Residential and Commercial
Please provide the following information:
Name and mailing address of property Management Agent or Company:
on-site
off-site
Name:
Phone:
Street Address:
City:
State:
Zip:
Contact:
Name and mailing address of janitorial service:
Name:
Phone:
Street Address:
City:
State:
Zip:
Name and mailing address of trash service:
Name:
Phone:
Street Address:
City:
State:
Zip:
Name and complete mailing addresses of any other service providers for the building:
Name:
Name:
Street Address:
Street Address:
City:
State:
Zip:
City:
State:
Zip:
Phone:
Phone:
Service Provided: _____________
Service Provided: _______________
If additional space is required, attach separate sheets of paper.
Commercial property owners must complete the reverse side

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