Change of Address Form - Apartment License

2. 

4. You are required to submit this form as soon as possible if you have moved and have not notified the Department of Neighborhood Standards.

   You are required to submit this form as soon as possible if you have moved and have not notified the Department of Neighborhood Standards.

6. Legal Owner(s) Name*

   ALL PERSONS LISTED ON TITLE OF PROPERTY MUST BE INCLUDED ON THIS FORM

8. Address(es) of Rental Property*

10. Additional Space for Address(es)

12. City*

13. State*
    -- Select One --AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPeurto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

14. Zip Code*

16. Owner Old Mailing Address*

18. City*

19. State*
    -- Select One --AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPeurto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

20. Zip Code*

22. Owner's New Mailing Address*

    P O BOX is not acceptable

24. City*

25. State*
    -- Select One --AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPeurto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

26. Zip Code*

28. Phone Number

29. Cell Phone Number

30. Email Address*

34. If property is held in Trust, attach names of all beneficial interest holders pursuant to requirements of State Statutes.
    If you live out of state, you must list a local Agent, designated to accept property maintenance and notice responsibility.

    If you live out of state, you must list a local Agent, designated to accept property maintenance and notice responsibility.

36. Name

38. Address

39. Email Address

41. City

42. State
    -- Select One --AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPeurto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

43. Zip Code

45. Home / Business Phone Number

46. Cell Number

48. I the undersigned, hereby certify that: *

    The information submitted in this application is an accurate representation of the facts on the date of the application

    1. I agree
50. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
52. Electronic Signature*

53. Date & Time*
    Date & Time

55. City of Aurora Division of Property Standards | 1 S. Broadway-Aurora, IL 60505-3307 | Fax: 630..256.3789
    Phone: (630)-256-3770 | Email: pscs@aurora-il.org | https://www.aurora-il.org/propertystandards

    Phone: (630)-256-3770 | Email: pscs@aurora-il.org | https://www.aurora-il.org/propertystandards

Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field