2. In accordance with Ch.10, Section 10-410 of the Village of Rantoul Code
   ** Registration Year May 1, 2017 - April 30, 2018 **
   
   DUE BY MAY 1, 2017
4. Rental Address *
   Type address of rental property here. If you have additional properties you can submit them as a separate document below.
5. Landlord ID #
   If this is your first time registering, skip this field. If you've registered before please provide your Landlord ID #.
7. Do you have more than (1) one property to register?*

   1. Yes
   2. No
8. Additional Properties
   List additional properties or attach a list in the next field.
9. Additional Properties
   Please attach your list here.
13. PLEASE NOTE: This form is to be used for cash or check payments submitted by mail or in office. If you would like to pay online, please use the online payments form.
    Rental Property Registration Application Online Payments
17. SPECIAL NOTE: Contract Sales/Lease Options
    If this residence is being sold or transferred under a Contract for Sale or Contract for Deed and IS NOT A RENTAL - stop here! Do Not complete this Application. See "Contract Sale Registration". If this residence is being "Lease With The Option To Buy" it is still considered Rental Property. Continue completing this application.
21. Registration Fee
    Payments must be made to the "Village of Rantoul". $40 per single family, $40 per condo unit, townhouse unit, or duplex unit. $40 per mobile home $40 for each dwelling unit within a multi-family building.
25. Description of Premises:
    Please enter number of units in boxes that apply.
26. Single Family
    Enter number of units
27. Condo/Townhouse/Duplex
    Enter number of units
29. Multi-Family
    Number of units
30. Mobile Home
    Enter number of units
32. TOTAL number of units @ $40 per unit*
36. Legal Owner(s):
    (Deed Holder, Individual, Corporation or Limited Liability Co.)
37. Name:*
39. Mailing Address*
41. City*
42. Zip*
43. Phone No.*
45. E-mail address
49. Do you have a Property Manager or Agent?*

    1. Yes
    2. No
51. Company or Representative Name*
53. Mailing Address*
55. City*
56. State*
57. Zip*
58. Phone No.*
60. E-mail address
64. Mortgage Holder*

    1. Yes
    2. No
66. Name of Mortgage Holder or Holder of the Deed:*
68. Mailing address*
70. City*
71. State*
72. Zip*
73. Phone No.*
77. Certification Statements:*

    1. The statements submitted in this application are true and accurate. They shall serve as prima fascia proof of the statements in any administrative enforcement or instituted court proceedings.
    2. I / We understand that it is illegal to operate a rental unit within the Village of Rantoul without a Certificate of Registration.
    3. I / We understand by designating an Authorized Agent, I / We are consenting to service of any and all notices of code violations concerning the registered unit and service by the Authorized Agent.
    4. I / We understand that I / we must notify the Rental Inspection Office if this property is sold in the Registration Year (5/1/17 - 4/30/18).
81. For Renewals (May1, 2017-April 30, 2018)
    Registration Applications and Fees must be submitted No Later Than May 1, 2017. Late Fee ($100.00) will apply to applications received after 5:00 p.m. on May 31, 2017.
83. Initial Here*
    I / We certify that I /we have read understand and comply with the statements above.
Leave This Blank:


85. 1. Receive an email copy of this form.
86. Email address

    This field is not part of the form submission.

87. Submit Submit and Print

* indicates a required field