Form Com 5026 - Application For Hotel/motel License Changes printable pdf download

Ohio Department of Commerce

Division of State Fire Marshal

Bureau of Testing & Registration

8895 E Main Street P.O. Box 529

Reynoldsburg, OH 43068

(614) 752-7126 FAX (614) 995-4206

TTY/TDD 800-750-0750

APPLICATION FOR HOTEL/MOTEL LICENSE CHANGES

All checks or money orders payable to: Treasurer, State of Ohio. Fees are non-refundable.

Applications expire one year from submission date if not complete.

License will be issued upon receipt of a completed application, payment, and an acceptable final inspection.

FEE SCHEDULE FOR CHANGES - PLEASE CHECK All THAT APPLY:



$500 - Change of ownership through true bill of sale. (Must provide true bill of sale, deed or other

documentation evidencing change of ownership.)



$25 - Change of name. (Please provide previous name.)



$25 - Removal of existing guest rooms.



$500-$1,500 - Adding newly constructed &/or licensed rooms(s). The fee is $500 for one to twenty

guestrooms added, $1,000 for more than twenty guestrooms, and $1,500 for adding guestrooms and/or

places of assembly such as restaurants, lounges, banquet facilities, mercantile or office space.



$200-$500 - Adding previously licensed rooms: The fee is $200 for one to twenty guestrooms

added, $400 for more than twenty guestrooms added, and $500 for adding guestrooms and/or places

of assembly such as restaurants, lounges, banquet facilities, mercantile or office space.



$25 - Change facility type to:  Extended stay  Transient  T270 (Must provide Certificate of

Occupancy)



$25 - Hotel Manager/Operator Addendum. The owner relinquishes hotel license to

operator/manager with this form. (Must provide copy of management agreement or lease). Find Hotel

Manager/Operator Addendum under Find Forms and Publications.

List room numbers to be T270 or extended stay:

Hotel License number ______ - ______ - ______

Total number of sleeping rooms: _______________

Current Facility Name:

Address: _____________________________________________ City:

State:________

Zip Code: _______________ County:___________________ Business Phone: (

)

Name of Manager/Operator: ______________________________________________________________

New Name of Hotel/Motel:________________________________________________________________

Name of New owner:____________________________________________________________________

Address: _______________________________________________City:_______________State:_______

Zip Code: ________________County:

Contact Phone : (

)

E-Mail Address:

Fax Number: (

)

Form Com 5026 - Application For Hotel/motel License Changes

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