Rental Housing Registration Application

Type of Rental Housing Registration Application

New
Renewal
Update

Property Name (if applicable)

Property Address (if applicable)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date

Number of Units

List Unit Numbers

OWNER INFORMATION

If different than Responsible Local Manager.

Name

First Last

Phone

Cell

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Enter Email Confirm Email

If provided, we will use email for routine notifications and information

RESPONSIBLE LOCAL MANAGER

This person is authorized to act on behalf of the owner concerning all matters of compliance with local ordinances and to receive all communications from the City and to respond on behalf of the owner.

Name

First Last

Phone

Cell

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Enter Email Confirm Email

If provided, we will use email for routine notifications and information

REGISTRATION FEE

$20 per structure and $3 per additional unit (No fee for updating information).

Send payment with completed registration to:

City of Manchester
208 E Main Street
Manchester, IA 52057

NOTE: If renewal is more than 30 days past due, a new registration fee will be assessed at $20 per structure, plus $3 per unit.

Consent*

I agree to the terms and conditions.

I certify that this information is true and complete to the best of my knowledge and that I have read a copy of the City of Manchester’s Rental Housing Code provided on the website at www.manchester-ia.org.

Signature of Owner or Responsible Local Manager*

Check this box if you are willing to participate as a landlord participant for mediations involving other landlord violations.

Check this box if you are willing to participate as a landlord participant for mediations involving other landlord violations.

Rental Housing Registration Application

OWNER INFORMATION

RESPONSIBLE LOCAL MANAGER

REGISTRATION FEE

Information

Useful Links

Other Resources

About us