Landlord Registration
Begin typing address and select from the populated dropdown *
{[CITY]}, {[STATE]} {[ZIP]}
  • Property
  • Contacts
  • Certification
Move in Date
Registration Type
Lock Box #
Property Type *
# of Bedrooms
Property Parcel ID
Lockbox Location
If Other
Is there a Signed Lease for all Tenants?
Property Details
# of Dwelling Units *
Address *
City, State, ZIP *
Email *
All Persons listed on title of property must be included on this form. If property is held in Trust, Attach names of all beneficial interest holders pursuant to requirements of State Statutes.
Ownership %
Property Owner
Type *
Mailing Address *
Realtor or Agent Details
Phone can receive text messages?
Phone #
If the owner resides outside a 35 mile radius from LaSalle, you must designate a local Agent (within 35 miles of LaSalle) to accept property maintenance and notice/service responsibility. (P.O. Box Not Acceptable).
Please specify additional owner details below.
Responsible for yard maintenance?
Phone # *
Business Name
Name *
Phone # *
City, State, ZIP
Emergency Contact Person Is *
Name *
Emergency Contact
Type Full Name :
Sign With Hand
Fee Schedule
Fee Due
Please attach any necessary documentation below.
I the undersigned, hereby certify that:

The information submitted in this application is an accurate representation of the facts on the date of the application. The registration/license fee does not constitute official licensing until compliance with all the provisions of the Property Maintenance Code has been verified through inspection by authorized personnel.

Applicant Signature *