Forms

2. 
3. Crime-Free Housing Landlord Registration

   Landlords should use this form to register their rental properties with the City's Crime-Free Housing program.

5. Owner Information
7. Name*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Cell Phone Number*
17. Email Address*
19. Second Email Address
21. If property is owned by a corporation or partnership, list all persons holding at least 5% of the corporation stock or all partners, with addresses and telephone numbers.
23. Does the owner hold any other City of DeKalb licenses? If yes, list below.
25. Property Information
27. Property Name (if applicable)*
29. Property Address*
31. Type*
    -- Select One --Single FamilyDuplexTownhomeApartmentCondo
32. Number of buildings at address*
33. Total number of units at address*
35. Number of bedrooms per unit*
37. Additional properties with exact same owner information
39. Second Property Name (if applicable)
41. Property Address
43. Type
    -- Select One --Single FamilyDuplexTownhomeApartmentCondo
44. Number of buildings at address
45. Total number of units at this address
47. Number of bedrooms per unit
49. Third Property Name (if applicable)
51. Property Address
53. Type
    -- Select One --Single FamilyDuplexTownhomeApartmentCondo
54. Number of buildings at address
55. Total number of units at this address
57. For more than three properties, list each additional property, including the property name (if applicable), address, type, number of buildings at the address, total number of units at the address & the number of bedrooms per unit.

59. Your Crime-Free Housing invoice will be determined using the following fee schedule: $50 per building + $15.24 per unit over 2 units. Example: A 4-unit building fee is $50 + $30.48 (2 x $15.24/unit) for a total of $80.48.

61. Does the owner reside in DeKalb County?*

    1. Yes

    1. No
63. If not, designate an agent (above 18 years of age) who resides in DeKalb County and is authorized to receive process for any legal proceedings on behalf of this property.
65. Name
67. Address
68. City/State
69. Zip Code
71. Phone Number
72. Email Address
74. Does the owner personally manage the propery?*

    1. Yes

    1. No
76. If not, who manages the property?
78. Name
80. Address
81. City/State
82. Zip Code
84. Phone Number
85. Email Address
89. Form Submitted By
90. Date
    Date
92. Statement*

    1. I agree to the following statement:

    By checking this box, I hereby state that the above information is true and correct to the best of my knowledge; I acknowledge receipt of a copy of Chapter 10, “Landlord-Tenant Regulations”, of the Municipal Code; and, I agree to notify the City of DeKalb within ten (10) days of any changes to this information.

Leave This Blank:


94. 1. Receive an email copy of this form.
95. Email address

    This field is not part of the form submission.

96. Submit

* indicates a required field