Exception Form for Residential Rental Property Registration

2. Owner/Corporation Name*

4. Mailing Address*

5. City*

7. State*

8. Zip Code*

10. TD Parcel*

11. Property Class

13. Property Address*

14. City*

16. State*

17. Zip*

19. Reason for Exception*
    -- Select One --Secondary residenceFamily member lives in home (no rent is charged)Property is listed as owned by LLC, LP or business name (does not qualify for owner occupied reduction)Property is currently listed for saleProperty is vacantOther

    Please explain below the reason the property in question does not qualify for either the Rental Registration program or the Owner Occupied tax reduction

21. Other Explanation*

    Please detail reason for Other exception.

23. Agreement*

    1. I Agree

    I declare under penalty of perjury that this statement to the best of my knowledge and belief is a true and complete statement.

25. Signature*

26. Date*

28. Phone Number*

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field