Rental Property Lien Exemption Program Form

 Step 1 of 1

Please fill out the form below completely and allow 48 hours for staff to update your account information.
 
****Please submit one apartment, rental property or premise per form.  Multiple addresses on one form will not be accepted since tenant information is needed for each premise****

* Denotes a required field
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Landlord Telephone*
-- ext
 
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Landlord ZIP Code*
-
Second portion of ZIP Code is optional.
Please be sure to include the apartment, suite or condo number in the address below. Failure to provide a complete address may prevent the account from participating in the Rental Lien Exemption Program.
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Tenant Phone 
-- ext
Tenant Move-in Date*
 
 
 
Are you selling this property on contract?*
If you have not applied for a rental license, please go to the Landlord Resource Center located at http://www.cityofdavenportiowa.com/services/landlord_resources and apply for a Rental License.