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If you, as property owner, reside outside of Rock Island County, Illinois, you must designate a local agent for service of process and provide the following information:
If the property is being sold on contract, you must attach a copy of the contract and provide the Name and Phone number of the contract buyer.
If the property has a maintenance person other than the owner listed above, please provide the following information.
If the property has a manager other than the owner listed above, please provide the following information.
For each rental building/house (duplex, triplex, four-plex, etc.), please list the following information.
(A bedroom must be a minimum 70 sq. ft. for one person or a minimum 50 sq. ft. per person for a shared bedroom.)
By selecting the "I Agree" button, you are signing this Renewal Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Renewal Application. You also agree that no certification authority or other third party verification is necessary to validate your electronic signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your electronic signature.
To be in compliance, you must also pay the appropriate fee. Refer to the invoice that was mailed to you for the specific amount and where to pay.
This field is not part of the form submission.
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