Landlord Registration - Village of Dennison

Landlord Registration Form

Effective August 20, 2020 Every person owning a non-owner occupied dwelling, whether dwelling is occupied or not, shall register in accordance with the ordinance. A $10 registration fee must be paid to the Village of Dennison when reporting a new resident to the property, no fee is charged to report a vacancy. Registrations will not be affective until the $10 registration fee is paid. Payment will be processed online or checks can be mailed to Village of Dennison, Zoning Dept. 302 Grant Street, Dennison, OH 44621 or cash paid at the office. Thank you!

All fields need to be filled out, if field is not applicable, then type (NA). Your email address is required for confirmation.

Property Address

Property Address Line 1

Address Line 2

City

State

Zip Code

Number of units at property

Owner First Name

Owner Last Name

Owner Address

Address Line 1

Address Line 2

City

State

Zip Code

Owner Phone/Mobile

Owner Email

Is the owner a business entity?

Yes

Business Entity Info

Primary Agent

Address

Address Line 1

Address Line 2

City

State

Zip Code

Business/Agent Phone/Mobile

Business/Agent Email

Property Manager Information

Property Manager

Property Manager Phone/Mobile

Property Manager Address

Address Line 1

Address Line 2

City

State

Zip Code

Property Manager Email

Type of Registration

Vacancy

New Tenant

Tenant Information

Adult 1 First Name

Adult 1 Last Name

Adult 2 First Name

Adult 2 Last Name

Are here any other adults living at this address?

Yes

Other Adult Tenant Information

Adult First Name	Adult Last Name

Number of Children

Tenant Unit Number

Tenant Phone/Mobile

Tenant Email

Landlord New Tenant Registration

Price: $10.00

Convenience Fee

Price: $1.00

Pay with Card (Stripe)

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Notice

By checking this box, you give us permission to process this form.

Date

If this form is being completed to change/update information, only the information which needs changed or updated must be filled in.
Providing false information, failing to update changed information, or failing to provide information which is easily accessible is a criminal offense.
Violation of any provision Ordinance No. 2383, a copy of which is attached hereto, shall be a fourth (4th) degree misdemeanor on the first offense, a third (3rd) degree misdemeanor on a second offense, and a second (2nd) degree misdemeanor on a third offense.