Form Crl-26 - Rental Property Owners' Report - 2004 printable pdf download

Office of the Commissioner of Revenue

2100 Clarendon Blvd., Suite 208

Arlington, Virginia 22201

Telephone (703) 228-3060

2004 RENTAL PROPERTY OWNERS’ REPORT

THIS SIDE FOR BOTH RESIDENTIAL AND COMMERCIAL PROPERTIES

PLEASE RETURN THIS FORM WITH YOUR BUSINESS LICENSE APPLICATION

ON OR BEFORE MARCH 1, 2004

Business License Account Number ______________________________ (from enclosed form)

Name as shown on enclosed form _______________________________________________________________________

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.)

□

Type of property (check one):

Residential only

Commercial only

Residential and Commercial mix

Please provide the following information:

Name and mailing address of property management agent or company:

___________________________________________________________________________________________________

Name and mailing address of garage or parking lot concessionaire:

___________________________________________________________________________________________________

Name and mailing address of janitorial service:

___________________________________________________________________________________________________

Name and mailing address of trash service:

___________________________________________________________________________________________________

Name(s) and mailing address(es) of any other service provider(s) for the building:

___________________________________________________________________________________________________

COMMERCIAL PROPERTY OWNERS MUST ALSO COMPLETE PAGE TWO

Form Crl-26 - Rental Property Owners' Report - 2004