Get Gary Rental Registration

Rental Registration Form City of Gary Indiana Receipt Year The fee is 75 for Landlords per rental unit before March 30th After March 30th a 175 late fee will be assessed per unit. Please make check payable to CITY OF GARY Mail to 401 Broadway Suite 100 Gary IN 46402 I acknowledge that this registration/renewal fee is due yearly between Jan* 1 and March 30th. Landlords are responsible for providing up to date tenant information* Rental Property Number Street Name Type Zip Code Example 401 Broadway N/A 46402 Address Only One Address per form Owner Name Company Contact Last Name Complete One Individual s First Name Owner Contact Information City/State/Zip No P. O. Boxes or Management Phone Emergency Mailing Address Phone Number Insurance Policy Expiration Date Policy Number Unit Unit Tenant As tenants change MUST be updated Tenant of Bedrooms Office Use Only Sticker Use Only Cost Applicants Signature By signing below applicant swears all information provided on application is true to the best of their knowledge and that the entire application was read and understood. Please make check payable to CITY OF GARY Mail to 401 Broadway Suite 100 Gary IN 46402 I acknowledge that this registration/renewal fee is due yearly between Jan* 1 and March 30th. Landlords are responsible for providing up to date tenant information* Rental Property Number Street Name Type Zip Code Example 401 Broadway N/A 46402 Address Only One Address per form Owner Name Company Contact Last Name Complete One Individual s First Name Owner Contact Information City/State/Zip No P. Landlords are responsible for providing up to date tenant information* Rental Property Number Street Name Type Zip Code Example 401 Broadway N/A 46402 Address Only One Address per form Owner Name Company Contact Last Name Complete One Individual s First Name Owner Contact Information City/State/Zip No P. O. Boxes or Management Phone Emergency Mailing Address Phone Number Insurance Policy Expiration Date Policy Number Unit Unit Tenant As tenants change MUST be updated Tenant of Bedrooms Office Use Only Sticker Use Only Cost Applicants Signature By signing below applicant swears all information provided on application is true to the best of their knowledge and that the entire application was read and understood. Please make check payable to CITY OF GARY Mail to 401 Broadway Suite 100 Gary IN 46402 I acknowledge that this registration/renewal fee is due yearly between Jan* 1 and March 30th. Landlords are responsible for providing up to date tenant information* Rental Property Number Street Name Type Zip Code Example 401 Broadway N/A 46402 Address Only One Address per form Owner Name Company Contact Last Name Complete One Individual s First Name Owner Contact Information City/State/Zip No P. O. Boxes or Management Phone Emergency Mailing Address Phone Number Insurance Policy Expiration Date Policy Number Unit Unit Tenant As tenants change MUST be updated Tenant of Bedrooms Office Use Only Sticker Use Only Cost Applicants Signature By signing below applicant swears all information provided on application is true to the best of their knowledge and that the entire application was read and understood.