Type Full Name :
Sign With Hand
Financial Institution/Bank
Fee
Please Note: There is no prorated fee. Amended Registration Statement is required ONLY if there are any changes to previously submitted information. There is NO FEE for amended registration and it takes place in January every year. In such case, the applicants must call (555) 973-2212.
Vacant Property Registration
State *
ZIP
Is the property enclosed and secured from unauthorized entry (boarded-up)?
Registration Type
Address
Choose a Registration or Renewal type based on the fee schedule below.
Owner Information
Property Maintenance Information
Agent Name *
Important Notice
Email
ZIP
State
If yes, pursuant to 2016-9~ of the Code, the property may be exempted from the registration requirements if the property owner notifies the Director of the Division of Real Estate in writing that such owner is seeking this exemption, and must have either (i) submitted plans to the Department of Inspections upon which the Construction Official must be able to make a determination that the property can be restored to productive use and occupancy within the next twelve months, or (ii) submitted a notarized letter from an licensed architect or contractor indicating that the property can be restored to productive use and occupancy within the next twelve months, which letter will be subject to review and final approval. If the property owner fails to submit the written notification, or it has been determined by the City that the property cannot be restored to productive use and occupancy within the next twelve months, the request for the exemption will be denied.
Owner of Record *
First Renewal = $500.00
Address
Date Property Vacant *
City, State, ZIP *
Owner Email *
Does property owner intended to restore the property to productive use and occupancy within the next twelve (12) months?
Contact Agent
Applicant Signature
After 5 years = $5000.00
Address
Initial fee = $250.00
ZIP *
Block
Begin typing address and select from the populated dropdown
Property Owner / Authorized Agent's Statement
State
Bank Email
Bank Information
Is there a pending foreclosure processing for the property?
Phone # *
Has the property owner or authorized agent properly affixed the required sign to the property in accordance with 2016-9~ of the Code, which bears the information as indicated in Section above?
Your
Town
Lot
Email *
Phone #
Registration or Renewal *
Name of Maintenance Company
Property Information
Phone # *
Mailing Street *
City
Is Owner the Agent? *
Contact Agent
Certification
I, the undersigned, hereby affirm that I am duly authorized to act on behalf of all ownership interests in the above-referenced property. I hereby attest/swear that the information contained herein is accurate and complete to the best of my knowledge. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment under the violations section of 2016-9~.
Agent Information
123 Main Ave
Your Town USA 90210
(555) 973-2212
www.yourtown.us
Subsequent renewal up to 5 years = $1000.00
City
Phone #
Address *
Every owner of a vacant building in Your Town is hereby required pursuant to Vacant Property Ordinance to register such vacant building and pay a registration fee in accordance with the fee schedule below. Note: Each property having a separate tax block and lot number must be registered separately.
City *