Non-Owner Occupied Property Registration

PROPERTY REGISTRATION FEES: (ANNUAL FEE AND REGISTRATION)

$45 FOR EACH RENTAL UNIT UP TO (4) UNITS AND $35 EACH AFTER

Section 1

Rental Street Address

Property Type

Single-Family

Muli-Unit

Owner Occupied?

Yes-Owner Resides

No- I rent it out

Number of Rental Units

Registrant's Email

By signing below, I am certifying that all of the information on this and any attached pages are accurate and complete. I am also aware of the responsibilities placed on me by the City's rental ordinance. A copy of this ordinance is available on the City's website, www.bradfordpa.com, or by contacting the Department of Property Maintenance Office.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Section 2: Contact Information

Owner Name/ Company

Owner: Phone Number

Owner: Mobile Number

Owner: Fax Number

Owner: Email

Insurer Company Name

Insurer: Phone Number

Insurer: Fax Number

Insurer: Email

Responsible Local Agent (If different than owner)

Responsible Local Agent: Phone Number

Responsible Local Agent: Mobile Number

Responsible Local Agent: Email

Authorized to Make Repairs (if applicable)

Authorized to Make Repairs: Daytime Phone Number

Authorized to Make Repairs: Mobile Phone Number

Authorized to Make Repairs: Fax Number

Authorized to Make Repairs: Email

Section 3: Rental Information

Please Note: For Unit #, please use the USPS mailing designation. (i.e., Apt 1, A, 1/2, Front, Rear, etc.)

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Please upload for additional units

Click Here to Upload

Do you have additional properties?

Yes

Section 1

Rental Street Address

Property Type

Single-Family

Muli-Unit

Owner Occupied?

Yes-Owner Resides

No- I rent it out

Number of Rental Units

Section 2: Contact Information

Owner Name/ Company

Owner: Phone Number

Owner: Email

Insurer Company Name

Insurer: Phone Number

Insurer: Fax Number

Insurer: Email

Responsible Local Agent (If different than owner)

Responsible Local Agent: Phone Number

Responsible Local Agent: Mobile Number

Responsible Local Agent: Email

Authorized to Make Repairs (if applicable)

Authorized to Make Repairs: Daytime Phone Number

Authorized to Make Repairs: Mobile Phone Number

Authorized to Make Repairs: Fax Number

Authorized to Make Repairs: Email

Section 3: Rental Information

Please Note: For Unit #, please use the USPS mailing designation. (i.e., Apt 1, A, 1/2, Front, Rear, etc.)

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Efficiency or Loft

Please upload for additional units

Click Here to Upload

Do you have additional properties?

Yes

Section 1

Rental Street Address

Property Type

Single-Family

Muli-Unit

Owner Occupied?

Yes-Owner Resides

No- I rent it out

Number of Rental Units

Section 2: Contact Information

Owner Name/ Company

Owner: Phone Number

Owner: Email

Insurer Company Name

Insurer: Phone Number

Insurer: Fax Number

Insurer: Email

Responsible Local Agent (If different than owner)

Responsible Local Agent: Phone Number

Responsible Local Agent: Mobile Number

Responsible Local Agent: Email

Authorized to Make Repairs (if applicable)

Authorized to Make Repairs: Daytime Phone Number

Authorized to Make Repairs: Mobile Phone Number

Authorized to Make Repairs: Fax Number

Authorized to Make Repairs: Email

Section 3: Rental Information

Please Note: For Unit #, please use the USPS mailing designation. (i.e., Apt 1, A, 1/2, Front, Rear, etc.)

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Unit Number

Owner Occupied

Yes

Maximum Tenants Allowed:

Number of Bedrooms

Efficiency or Loft

Please upload for additional units

Click Here to Upload

Do you have additional properties?

Yes

City of Bradford

Non-Owner Occupied Property Registration

Section 1

Section 2: Contact Information

Section 3: Rental Information

Section 1

Section 2: Contact Information

Section 3: Rental Information

Section 1

Section 2: Contact Information

Section 3: Rental Information

Please return to Non-Owner Occupied Property Registration page and fill out another form. Thank you.