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MULTI-FAMILY PROPERTY REGISTRATION APPLICATION

4. MULTI-FAMILY PROPERTY REGISTRATION APPLICATION
6. PLEASE NOTE: SHOULD A PROPERTY CONTAIN MORE THAN ONE BUILDING, A PROPERTY REGISTRATION APPLICATION MUST BE COMPLETED FOR EACH BUILDING.
8. SUBMIT ONLINE BELOW OR PRINT AND MAIL TO: CITY CLERK - RENTAL REGISTRATION, ATTENTION: ALLISON PEASE, CITY OF LEWISTON, 27 PINE STREET, LEWISTON, ME 04240
   Any changes to the name,, business or residence address, cell and primary telephone numbers, or email address of the legal owner or owners, business operator, property manager or emergency contact of the building that occur more than thirty days in advance of the date of the next required registration must be reported to the City Clerk within fifteen days of its occurrence. The City Clerk may reject any registration application where the application is incomplete or has been determined to include inaccurate information. Buildings with rejected registrations will be considered unregistered.
10. SECTION 1: PROPERTY INFORMATION
12. 1) Street Number*
13. Street Name*
14. Building ID (if applicable)
16. 2) Parcel Number*
18. 3) Does Owner Live in This Building?*

    1. Yes
    2. No
20. SECTION 2: DWELLING UNITS AND SAFETY FEATURES
22. PLEASE PROVIDE # FOR 1 - 7
24. 1) # Residential FLOORS in Building*
25. 2) # of VACANT Units*
26. 3) # of 1-Bedroom Units*
28. 4) # of 2-Bedroom Units*
29. 5) # of 3-Bedroom Units*
30. 6) # of 4-Bedroom Units*
32. 7) 5 or More Bedroom Units*
34. 8) Does the building have a central fire alarm system?*

    1. Yes
    2. No
35. 9) If so, is the system monitored?

    1. Yes
    2. No
37. 10) Is there a sprinkler system?*

    1. Yes
    2. No
39. 11) Has building ever been inspected for lead hazards?*

    1. Yes
    2. No
    3. Don't Know
40. If it's been inspected, what year?
42. 12) Has building ever been cleared of lead hazards?*

    1. Yes
    2. No
    3. Don't Know
43. If it's been cleared, what year?
45. 13) Is there a lead maintenance plan for the building?*

    1. Yes
    2. No
47. SECTION 3: OWNERSHIP AND CONTACT INFORMATION
49. A) OWNER
    The Individual OR Legal Entity Who/That Holds the Deed to the Property
51. Owner Name*
53. Mailing Address*
54. City*
55. State*
57. Zip Code*
58. Primary Phone*
59. Cell Phone*
61. Email Address*
63. Owner Is (Select One)*

    1. Individual
    2. Partnership
    3. LLC
    4. Corporation
    5. Other
65. If You Selected Other, Please Explain
67. IF OWNER IS AN INDIVIDUAL
69. First Name
70. Middle Initial
71. Last Name
73. IF OWNER IS NOT AN INDIVIDUAL
75. Full Name of Legal Entity
76. State of Registration for This Entity
78. If Not Registered in US, State Where
80. IF THE OWNER IS NOT AN INDIVIDUAL, A SEPARATE CORPORATE DISCLOSURE FORM MUST ALSO BE COMPLETED. THAT FORM CAN BE FOUND AT THE LINK BELOW.
82. Corporate Disclosure Form
    Disclosure Form
86. B) Business Operator
    Individual With Legal Ownership Interest Who is Responsible for Financial, Maintenance, and Policy Decisions
88. First Name*
89. Middle Initial
90. Last Name*
92. Contact Information*

    1. Same Info as Owner if Owner is an Individual
    2. Different Info Listed

    IF DIFFERENT than "owner," the following section must be completed, IF SAME as owner, go to Section C.
94. Mailing Address
95. City
96. State
98. Zip Code
99. Primary Phone
100. Cell Phone
102. Email Address
104. C) Property Manager
     Individual With Whom the City Will Schedule Inspections and Who is Responsible for Day-to-Day Maintenance
106. Please Pick One*

     1. Same as Owner if Owner is an Individual
     2. Same Info as Business Operator
     3. Different Info Listed

     If info is same as "owner" if owner is an individual or same as "business operator," no need to complete section; IF DIFFERENT, section must be completed.
108. First Name
109. Middle Initial
110. Last Name
112. Property Management Company Name
114. Mailing Address
115. City
116. State
118. Zip Code
119. Primary Phone
120. Cell Phone
122. Email Address
126. D) Emergency Contact
     Individual Who Responds 24/7 to Emergency Calls from Tenants and Public Safety Personnel
128. After-Hours Emergency Phone*
130. Additional Contact Information*

     1. Same Info as Owner if Owner is an Individual
     2. Same Info as Business Operator
     3. Same Info as Property Manager
     4. Different Info Listed

     If info is same as "owner" if owner is an individual" or same as "business operator" or "property owner," no need to complete section; IF DIFFERENT, section must be completed
132. First Name
133. Middle Initial
134. Last Name
136. Company Name (If Applicable)
138. Mailing Address
139. City
140. State
142. Zip Code
143. Primary Phone
144. Cell Phone
146. Email Address
148. Name of Individual Completing Application
     For electronic filers, entering your name below constitutes a signature for this purpose and certifies the submitted information is correct.
150. First Name*
151. Middle Initial
152. Last Name*
154. Signature if Mailing Hard Copy
156. Printed Name if Mailing Hard Copy
158. Email Address*
160. IF INDIVIDUALLY OWNED, your application is now complete and can be submitted. IF NOT INDIVIDUALLY OWNED, each ownership entity, (Corporation, LLC, Partnership etc.) must complete and submit one Corporate Disclosure Form. The one form will cover all buildings owned by such entity. The form is available at the link below.
162. Corporate Disclosure Form
     Corporate Disclosure Form (PDF)
Leave This Blank:


164. 1. Receive an email copy of this form.
165. Email address

     This field is not part of the form submission.

166. Submit Submit and Print

* indicates a required field