Property Address:

    Primary Tenant Name:     Number of Occupants:

    Driver License # For Tenant:      State Issued License:   Number of Bedrooms:

    Phone # For Tenant:           Location of Electrical/Fuse Box:

    Has there been a change of occupancy or an additional tenant since last registration? No   Yes

Owner Information

    Ownership is by:  Individual Property Owner Partnership Corporation

    Individual Property Owner Name:

    Partnership/Corporate Name:

    Is this a foreign corporation? No Yes   Place of Incorporation:

    Incorporated under State of Texas Laws? No   Yes

    Name of Corporate/Partnership Officers, Trustee's with associated Titles:   

    Registered Agent for Corporation:   Phone #:

    Address For Owners:

    Home Phone #:     Work Phone #:

    Owner's Driver License #:     State Issued By:

    Owner's E-mail Address:

    Local Person In Charge of Property:     Phone #:

    Local Person E-mail Address:

Property Manager

    Property Management Company:

    Property Management Address:

    Phone Number:           Agent's Name:

    Property Management E-mail Address:  

 I hereby certify that all information provided in this application is to the best of my knowledge and belief, is true, accurate, and complete.  I am aware that there are significant penalties for submitting false information, including fines up to $500.00 per violation.

    YES    NO

    This application was filled out by: