Type of RegsitrationTo be updated ANNUALLY for each property. Please select the type of registration: *New RegistrationUpdate Existing RegistrationRenew Registration (Annual)Deregistration or Waiver Application**Reason for Deregistraion or Waiver Application? Actively Marketing Property for Sale/LeaseApplied for a UCC Building Permit to rehabilitate, repair, or demolishProperty has been sold or demolishedAddtional Information: *Please click here to download the Waiver Application.You may also upload your completed Waiver/Deregistration or other supporting documentation here: Property Address *911 Address of PropertyParcel # Property Status Vacant/UnoccupiedForeclosure/Default (VACANT)Foreclosure/Default (OCCUPIED)Notice of Default (date): Most Recent Property Inspection Date? Date Property became vacant (or will become vacant) Date of vacancy, or if in default and occupied, anticipated date of vacancy or removal.It the Property Secured? Has the property been secured? i.e. all doors and windows closed and locked, broken windows appropriately boarded.YesNoIs Property contact information clearly posted? While the property is vacant, the property shall be posted with the name and 24-hour contact phone number of the owner and local property management company.YesNo Property Owner InformationName of Company/Legal Owner(s) *Mailing Address *City, State Zip *Phone *Phone Phone Email Address * Property AgentREQUIRED if address in #2 is more than 30 Miles from Property Address Name of Company Name of Contact Person Mailing Addresss City, State ZIP Phone Phone (Mobile) Email Property Maintenace CompanyName of Company Name of Contact Person Mailing Address City, State ZIP Phone Phone (Mobile) Email *Section FieldsetSection VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
