CITY OF PEARL RESIDENTIAL RENTAL PROPERTY REGISTRATION FORM

CITY OF PEARL RESIDENTIAL RENTAL PROPERTY REGISTRATION FORM
Owners Contact Information (Indicate Registered Agent if owned by a Corporation)
Owner's Name:
Mailing Address:
Mailing Address 2:
Phone:
Cell:
Fax:
Email:
example@example.com
Local Agent Information: If the Owner does not reside within 60 miles of rental unit OR is not able to be contacted on a 24-hour basis, the must provide information for a Local Aent who resides in Rankin County or an ajoinincounty AND is able to respond reasonably in Owner gdg the event of an emergency on a 24-hour basis.
Agent's Name:
Mailing Address:
Mailing Address 2:
Phone:
Cell:
Fax:
Email:
example@example.com
Number of Units ($50.00 per unit):
Total Amount Due:
Automatically Calculates Total - Do not type here
Unit Type : (Please check all that apply)

Single Family Duplex Three - Plex Four - Plex Multi - Family
Terms of Residential Rental Registration Program

By signing this form Owner and Local Agent (if applicable) agree to comply with the following terms:
- NO OWNER SHALL BE ALLOWED TO REGISTAR ANY PROPERTY IF THE OWNER HAS OUTSTANDING VIOLATIONS, FEES,AND/OR FINES DUE AND OWING TO THE CITY OF PEARL.
- Any changes occurring in ownership of a rental unit shall require the new owner to apply for registration within 30 days of taking ownership.
- No rental unit shall be rented or leased or offered for rent or lease in a manner which would result in violation of the occupancylevels permitted by the 2006 ICC Property Maintenance Code, Pearl Development Code or a Certificate of Occupancy.
- That both the interior and exterior of each rental property shall be periodically inspected by the Building Official, under the provisions established by the adopting Ordinance.
FAILURE TO REGISTER

That failure to adhere to these terms and others outlined in the adopted Ordinance may result in violation of the Rental Registration Ordinance in a $350.00 fine.
Signature of Owner OR Owner's Agent: I hereby declare under penalty of perjury that all information given on this application for the purpose of securing a Certificate of Residential Rental Registration, and determining the amount due is true and correct.

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Date

Month Day Year
Date
Approved by:

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Date

Month Day Year
Date
RENTAL UNIT ADDRESS
Press "Enter" after each address to move to the next line when entering multiple addresses...
Should be Empty:

CITY OF PEARL RESIDENTIAL RENTAL PROPERTY REGISTRATION FORM

FAILURE TO REGISTER