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Rental Housing

Rental Housing Registration Form

Property Owner*

Home Address*

Home Phone*

Work Phone*

Cell Phone*

Email Address*

Preferred method of contact*

Home Phone

Work Phone

Cell Phone

Authorized agent or manager

Agent address

Agent phone number

Rental Property Information

Please list your rental properties within the City of Estherville below.

Address 1

Number of Units

Address 2

Number of Units

Address 3

Number Of Units

Address 4

Number of Units

Address 5

Number of Units

Address 6

Number of Units

Address 7

Number of Units

Address 8

Number of Units

Address 9

Number of Units

Address 10

Number of Units

I certify that the information I provided is true and correct to the best of my knowledge. I understand it is my responsibility to report the sale of units or register new units within 30 days of the event.

Digital Signature of Owner*

Date*

Please provide your email address. A copy of your completed registration will be sent via email for your records.

Email Address*