Rental Registration Business License Application

This application is for owners of 3 or less residential rental units.

Owner Name: *

Owner's Home Address: *

City: *

State: *

Zip: *

Mailing Address: *

City: *

State: *

Zip: *

Phone: *

Email: *

Driver's License Number: *

Date of Birth: *

Gender:

Race/Ethnic Group:

List the rental properties you own located within the City of Little Rock city limits. Short term rentals are defined as properties rented for 29 days or less at a time. All other properties are considered long term rentals. A flat fee of $35.00 a year will be required.

Rental 1

Street Number: *

Street Name: *

Square Footage: *

Rental 2

Street Number:

Street Name:

Square Footage:

Rental 3

Street Number:

Street Name:

Square Footage:

You will not be able to apply for your business license unless you agree that the above information is true. If you do not agree, please contact the Treasury Management Division at (501) 371-4568. *

I Agree

Signature of Owner or Representative:

First Name *

Last Name *

Owner or Representative Phone Number: *

Date: *