CHARTER TOWNSHIP OF MERIDIAN
DEPARTMENT OF COMMUNITY PLANNING AND DEVELOPMENT
5151 MARSH ROAD, OKEMOS, MI  48864
RENTAL HOUSING DIVISION, PHONE:   (517) 853-4540  

2025 
RENTAL REGISTRATION APPLICATION
(NEW OR RENEWAL)

Part I

A.	Rental Property
	Address: 
	Complex Name: 
(if applicable) 

B.	Property Owner   
Name: 
	Contact Person: 

(If owned by a company or corporation, the name of a contact person must be provided) 
	Address: 
	City/State/Zip Code: 
Phone Number       Home:                                                          Cell:  
Email: 		
	
Driver's License, State Identification or Corporate Identification Number: __________________
	(For information security, enter only if a change has occurred)				

C.	Registered Agent / Responsible Party  

Name: : 
	Contact Person: 
	
	(may include on-site manager or property manager) 
	Address: 
	City/State/Zip Code: 
Phone Number:  Home:  Cell::
Email: 
	
Driver's License, State Identification or Corporate Identification Number: __________________
	(For information security, enter only if a change has occurred)		

All notices, correspondence and billings will be sent to the Registered Agent unless otherwise indicated:

		Property Owner				Registered Agent/Responsible Party

Part II

A.	Floor Plan

	No material change to the rental unit has taken place in the prior registration period that altered the previously submitted floor plan.

	A material change to the rental unit has taken place in the prior registration period which altered the previously submitted floor plan. A revised floor plan has been attached to the application.

B.	Site Plan

	No material change to the rental unit has taken place in the prior registration period that altered the previously submitted site plan.

	A material change to the rental unit has taken place in the prior registration period which altered the previously submitted site plan. A revised site plan has been attached to the application.

Part III		

 	What percentage of the dwelling will be used as a rental?  ___________________

Will the dwelling be used as a rental for at least 180 days per calendar year?  Circle YES or NO

Part IV

		Owner’s Affidavit:

I (we) certify that the information provided within this application and accompanying documentation is, to the best of my (our) knowledge, true and accurate and hereby grant permission for officials of the Township to conduct any and all inspections and affirm that all tenants of the subject property will be properly informed of the Township’s rental regulations and the required inspections.

____________________________________________			____________________
Signature of Owner(s) or Registered Agent					Date

____________________________________________
Typed or printed name(s)

Date Received: ________________				                 Fee: ________________