Foreclosure/vacant property form

Applicant information
Property address or APN:(Required)
Property owner's name:(Required)
First Last
Email(Required)
Phone:(Required)
Contact name (If different from property owner name):
First Last
Email
Phone:
Corporate officer (If entity is managed by LLC, please provide corporate officer):
First Last
Email
Phone:
Mailing address:(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
In case of emergency - 24 hour phone number:(Required)
Bank owned properties
Bank/Lender/Lien Holder:
Contact name:
First Last
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please confirm registration:(Required)
I DECLARE UNDER PENALTY OF PERJURY AND PURSUANT TO THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.(Required)
I understand
I understand if the foreclosed, vacant and /or abandoned property is sold or transferred within a calender year to a new bank/owner it will need to register the foreclosed, vacant and/or abandoned property; the annual fee is not transferrable.(Required)
I understand
I understand that this registration is not complete until I have paid the annual non-refundable foreclosed, vacant and/or abandoned property registration fee.(Required)
I understand
Signature:(Required)

Upon submission of this form, Planning and Building staff will contact applicant and provide payment instructions.
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Applicant information