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Smoke Detector Rental Property Registration Form

NO P.O. BOX ALLOWED FOR ANY ADDRESS ON THIS FORM STREET ADDRESSES ONLY

Property Location
Date of Registration
Authorized Agent
Authorized Agent Address
Authorized Agent Phone

Address for service of process:
(If not property location above)
 
Phone

  The undersigned hereby affirms under penalties of perjury that the above listed statements are true and that I have received a copy of the applicable ordinance and I am in compliance there with.

NAME


    

For this submission to be official, we must receive a signed version of the form. Click here to download and print the registration form, sign it where indicated and fax it to us at 219-873-1451 or mail it to us at the address provided or drop it off at our main location at 2510 East Michigan Boulevard.




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