Rental Registration Business License Application This application is for owners of 3 or less residential rental units. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Owner's Name *FirstLastOwner's Home Address *City *State *Zip Code *Mailing Address *City *State *Zip Code *Phone *Email *Driver's License Number *(If not applicable enter N/A)Date of Birth *Gender(Optional)Race/Ethnic Group(Optional) Type Short Less) 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 DirectionN – NorthS – SouthE – EastW – WestNW – NorthwestNE – NortheastSW – SouthwestSE – SoutheastStreet Name *Street Type *— Select Choice —AVEBLVDCIRCRKCTCTFCVDIVDRENDLATLNLOOPMALLMNRPARKPASSPATHPIKEPKYPLPLZPTRDRDGROWRUNSPURSQSTTERTRCETRLVWWAYXINGProperty Type *— Select Choice —Single FamilyDuplexTriplexIs this property Section 8 eligible? *YesNoNumber of Units *— Select Choice —123Square Footage *Short Term Rental? (Rented for 29 Days or Less) *YesNoShort Term Rental Owner Occupied? *YesNoRental 2 Street NumberStreet DirectionN – NorthS – SouthE – EastW – WestNW – NorthwestNE – NortheastSW – SouthwestSE – SoutheastStreet NameStreet Type— Select Choice —AVEBLVDCIRCRKCTCTFCVDIVDRENDLATLNLOOPMALLMNRPARKPASSPATHPIKEPKYPLPLZPTRDRDGROWRUNSPURSQSTTERTRCETRLVWWAYXINGProperty Type— Select Choice —Single FamilyDuplexTriplexIs this property Section 8 eligible?YesNoNumber of Units— Select Choice —123Square FootageShort Term Rental? (Rented for 29 Days or Less)YesNoShort Term Rental Owner Occupied?YesNoRental 3 Street NumberStreet DirectionN – NorthS – SouthE – EastW – WestNW – NorthwestNE – NortheastSW – SouthwestSE – SoutheastStreet NameStreet Type— Select Choice —AVEBLVDCIRCRKCTCTFCVDIVDRENDLATLNLOOPMALLMNRPARKPASSPATHPIKEPKYPLPLZPTRDRDGROWRUNSPURSQSTTERTRCETRLVWWAYXINGProperty Type— Select Choice —Single FamilyDuplexTriplexIs this property Section 8 eligible?YesNoNumber of Units— Select Choice —123Square FootageShort Term Rental? (Rented for 29 Days or Less)YesNoShort Term Rental Owner Occupied?YesNoYou 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 agreeSignature of Owner or Representative Name *FirstLastOwner or Representative Phone Number *Date *Submit
