Rental License Application

Rental License Application

Standard online form based on the extracted PDF. Please complete all applicable fields and provide the certification at the end.
Property and Application Details
Application Type
Rental Property Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Rental Type
Date Rental Unit Went Into Service

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Number of Rental Units
Water and Sewer Account #
Owner and Applicant Information
Property Owner Name

First NameMiddle NameLast Name
Owner Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Owner Phone
Please enter a valid phone number.Format: (000) 000-0000.
Owner Email
example@example.com
Applicant Name (if different from owner)

First NameMiddle NameLast Name
Applicant Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Applicant Phone
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Email
example@example.com
Property Contact Information
Property Manager / Emergency Contact

First NameMiddle NameLast Name
Contact Phone / Email
Maryland Resident Agent

First NameMiddle NameLast Name
Inspection, Occupancy, and Permit Details

Properties constructed before 1978 may be subject to Maryland Department of the Environment lead-risk reduction requirements. If applicable, attach the required certification.
Is the property currently inspected by another government agency?
If yes, agency name
Please attach the most recent inspection report issued by the other agency.

Cancelof
Has the tenant been notified of the Town's inspection requirement?
Is the rental unit an Accessory Dwelling Unit (ADU)?

Accessory Dwelling Unit Information

Complete this section only if the rental unit is an Accessory Dwelling Unit (ADU).
ADU Square Footage
ADU Type
Number of Bedrooms
Number of Bathrooms
Number of Kitchens
Use & Occupancy Permit #
Zoning Permit #
Primary Dwelling Occupancy
Parking

Certification
Signature of Owner or Authorized Agent
Printed Name

First NameMiddle NameLast Name
Certification Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Rental License Application

Property and Application Details

Owner and Applicant Information

Property Contact Information

Inspection, Occupancy, and Permit Details

Accessory Dwelling Unit Information

Certification