Rental License Application

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All online payments will be charged a $2.00 convenience fee

Primary Mailing Address

Resident Agent Information
(if corporation or LLC)

Emergency Contact
(if different from owner)

Designated Agent
(if different than applicant listed above)
(Type SAME if same as applicant)

x $75.00

Convenience Fee

Lead Inspection Certificate Information
Before the City of Hagerstown authorizes residential property to be rented, leased, or let, the owner of the residential property shall state in writing to the City under penalty of perjury the lead paint status of the property. An affected property is one built PRIOR TO 1978 that is a residential rental property for which money or services are collected for rent.

Section II

State law requires lead paint inspections on all affected properties at EVERY TENANT TURNOVER, unless the property is certified lead-free. CURRENT inspection certificate numbers for the property noted above are:


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