WFB_Form_Rental_Registration

City of Ionia

Rental Registration Application

This form needs to be resubmitted whenever the owner and/or agent information changes. All owners should verify with the City Assessor that the owner address is up to date by calling (616) 527-4170 ext. 5146. BY SUBMITTING THIS FORM, OWNER/AGENT ACKNOWLEDGE THEY HAVE READ THE CITY "RESIDENTIAL PROPERTY ORDINANCE".

Purpose of Application

New Rental Registration Change of Address/Phone Change of Ownership Change of Agent Existing Rental

Fees: Up to 3 units, $25.00 each; 4 or more in same building, $15.00 each.

Property Information

Legal Property Address

Per Assessing Records

Property Street Address

Exemptions

Total Units

Number includes any owner occupied or vacant units

Rental Units

Number of rental units.

Date Property Became Rental

Required. dd/mm/yyyy

Owner Information

By submitting this application, you acknowledge that it is your responsibility to schedule an appointment for a housing inspection and to complete all repair necessary for the issuance of a "Certificate of Compliance" issued pursuant to Chapter 858 of the City Code; that it is your responsibility to schedule any necessary re-inspections in order to receive the Certificate of Compliance; and that you understand the information on the Rental Registration Program. (Owners may act as their own agent if they live in the approved local area, otherwise they must designate a local agent.)

Owner Name

Owner Date of Birth

Required. mm/dd/yyyy

Owner Home Address

Owner City/State/Zip

Owner Phone

Owner Email Address

required

Are You Acting As Your Own Agent?

Yes No

Required. If YES, and you want to use a different mailing address (i.e. PO Box), please fill out the "Agent Information" section below. If NO, please designate a local agent in the "Agent Information" section below.

Enter Owner Name as SIGNATURE

You certify that the foregoing is accurate.

Today’s Date

Required. mm/dd/yyyy

Agent Information

The following person has been designated as agent pursuant to 858.02A5 of the Ionia City Code, and understands that, as local agent, they are responsible for ensuring compliance with the City of Ionia Housing Code on behalf of the owner.

Agent Name

Agent Date of Birth

Required. mm/dd/yyyy

Agent Mailing Address

Agent City/State/Zip

Agent Phone

Agent Email Address

Enter Agent Name as SIGNATURE

You certify that the foregoing is accurate.

Today’s Date

mm/dd/yyyy

Select the Submit button below and your application will automatically send to the City of Ionia. An automated response email will also send to the Owner Email Address containing your application data. If questions, please contact Brian Vos at 616-523-0157 or email: bvos@ci.ionia.mi.us.