Crime Free Housing License Registration (Alsip PD)

ALSIP CRIME FREE HOUSING
LICENSE APPLICATION

To if you would prefer to download this form for printing, please click here
Rental Property Owner
(MANDATORY)
OWNER NAME 1:(IF APPLICABLE)
ADDRESS:
EMAIL
PHONE #
CELL PHONE #
WORK PLACE:
WORK PHONE #
OWNER NAME 2:(IF APPLICABLE)
ADDRESS:
EMAIL
PHONE #
CELL PHONE #
WORK PLACE:
WORK PHONE #
OWNER NAME 3:(IF APPLICABLE)
ADDRESS:
EMAIL
PHONE #
CELL PHONE #
WORK PLACE:
WORK PHONE #
Rental Property Manager
MANAGER NAME:(IF APPLICABLE)
ADDRESS:
EMAIL
PHONE #
CELL PHONE #
WORK PLACE:
WORK PHONE #
Rental Property Location
(MANDATORY)
ON LOCATION AGENT (IF APPLICABLE):
PROPERTY ADDRESS:
AGENT PHONE #
AGENT CELL PHONE #
NUMBER OF RENTAL UNITS:
NUMBER OF BUILDINGS:
APPLICATION FEE:
FEE INCREASED BY 50% IF PAID AFTER NOV. 1ST
AMT PAID:
DATE PAID:
MM slash DD slash YYYY
UNDER 4 RENTAL PROPERTIES: $40.00 PER UNIT UP TO $100.00

4 RENTAL PROPERTIES AND OVER: $50.00 PER STRUCTURE

Rental Property Owner