Rental Registration

2. 

3. RENTAL HOUSING REGISTRATION FORM
   This form is required to be completed annually and completely filled out. One form required for each property

   This form is required to be completed annually and completely filled out. One form required for each property

5. City of Storm Lake Building Official Department
   PO Box 1086 : 620 Erie Street : Storm Lake, IA 50588 buildingofficial@stormlake.org :www.stormlake.org :712-732-8002

   PO Box 1086 : 620 Erie Street : Storm Lake, IA 50588 buildingofficial@stormlake.org :www.stormlake.org :712-732-8002

6. To avoid penalty registrations are due by the last working day in August annually.

8. Property Address:*

9. Fiscal Year:*

11. Property Owner Name:*

12. Property Owner Email

14. Property Owner Address:*

16. City*

17. State*

18. Zip*

20. Owner Phone:*

21. Owner Phone:

22. Main Contact Is?*
    -- Select One --OwnerManager

23. Preferred Contact Method:
    -- Select One --MailEmail

25. Manager Name:

26. Manager Address:

28. Manager Phone:

29. Manager Email

31. Total Number of Rentable Units in Structure*

32. Total Number of Sleeping Rooms/Bedrooms (sleeping rooms regarless of units)*

33. Total Number of Bathroom Facilities*

35. As the property owner I understand that I am subject to the rental housing regulations of the City of Storm Lake including but not limited to the right of the City to perform inspections on my property as part of the rental housing requirements. I understand that it is my duty to notify my tenants of a ny upcoming inspections and to either be present or have a representative, that is at least 18 years of age, present during the inspection. I further agree to notify the City of Storm Lake within five (5) business days of any changes in the contact information listed on this registration form and to ntify the City of Storm Lake within 30 days of any changes in ownership related to the property registered by this registration form.

37. Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) all information provided is current as of the date of signature

    1. I agree
39. Electronic Signature*

40. Date
    Date

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field