Rental Registration Application

Date

Check Box if no changes from last year and complete section A only.

Property Address

Street Address Address Line 2 City State ZIP Code

Number of units (house = 1 unit, duplex = 2 units, quadplex 4 units, etc.)

Is this an owner-occupied unit?

Payment amount submitted ($10/unit) $

Please select how you submitted your payment

Credit Card

Check

Cash

Owner Business Name

Contact Person

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

Agency Name

Contact Person

Agency Mailing Address

Street Address Address Line 2 City State ZIP Code

Agency Phone

Agency email

Owner/Agent Signature

First Last

Date

Make checks out to Allendale Charter Township
Electronic Payment link accessible on the Invoice or call (616)892-3114 to pay over the phone.

Contact Us