Annual Rental Certificate Application
RENTAL PROPERTY INFORMATION
Refer to the Property Information included on the Rental Application mailed/emailed to you. Please contact the Mt. Pleasant Fire Department for additional assistance, 989-779-5105 or fire@mt-pleasant.org.
Expiration Date (Month and Year)
*
"September 2026"
Rental Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
All submitted information will apply to ONLY the listed properties (by Parcel Number). Please submit a separate Application for any property with different Owner/Agent information.
Parcel Number and Number of Total Certificates. Please include the Address or Apartment Complex Name associated with each Parcel Number owned.
*
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OWNER INFORMATION
If Joint Ownership or LLC, please include the name and contact information for the primary contact and/or additional owners.
Owner Name
*
First Name
Middle Name
Last Name
Additional Owner Name (if applicable)
First Name
Middle Name
Last Name
Business Name (if applicable)
Owner Address (Cannot be P.O. Box)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner Mailing Address is different from Primary Address
*
Yes
No
Owner Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner Phone (Primary)
*
Please enter a valid phone number.
Owner Phone (Alternative)
Please enter a valid phone number.
Owner Email
*
example@example.com
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A Local Agent whom resides in Isabella County is required for a Rental Certificate to be issued.
See 152.008 (D)(3)
Owner is a resident of Isabella County and is the Local Agent
*
Yes
No
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LOCAL AGENT INFORMATION
Local Agent Business Name (if applicable)
Local Agent Name (if applicable)
First Name
Last Name
Local Agent Address (Must be within Isabella County)
*
Street Address
Street Address Line 2
City
State
Zip Code
Local Agent Phone (Primary)
*
Please enter a valid phone number.
Local Agent Phone (Alternative)
Please enter a valid phone number.
Local Agent Email
*
example@example.com
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ADDITIONAL INFORMATION
Attends Rental Inspections
*
Please Select
Owner
Agent
Owner and Agent
All correspondence is sent to the Owner unless otherwise indicated.
Responsible for Invoice
*
Please Select
Owner
Agent
Owner and Agent
All correspondence is sent to the Owner unless otherwise indicated.
Additional Comments:
Owner Signature
*
By signing this form, you agree to all selections made above.
Additional Owner Signature
By signing this form, you agree to all selections made above.
Signature Date
*
-
Month
-
Day
Year
Submit
Should be Empty: