APPLICATION FOR RENEWAL OF RESIDENTIAL RENTAL LICENSE

CITY OF WEST CHICAGO

Community Development Department
APPLICATION FOR RENEWAL OF RENTAL LICENSE
ADDRESS OF RENTAL PROPERTY *
PROPERTY OWNER INFORMATION:
Name *

Property Owner's First Name Property Owner's Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone *
Email *
example@example.com
24 Hour Emergency Contact Name *
Phone *
RENTAL MANAGEMENT & NOTIFICATIONS PREFERENCE:
As the applicant, I confirm that the property management of this rental and all its related notifications from the City of West Chicago are hereby named to be in the care of: *

Legal Owner (whose email and mailing addresses are provided above.) Property Manager or Management Company (whose email and mailing addresses are provided below.)
Does the legal owner reside farther than 30 miles from the City of West Chicago? *

No Yes
PROPERTY MANAGER/MANAGEMENT COMPANY INFORMATION:

NOTE: In the event that the owner of the rental property resides more than 30 miles outside the corporate limits of the City, the owner shall appoint a managing agent authorized to receive notices and process on behalf of the owner and who has an office or residence within 30 miles of the corporate limits of the City with regular business hours. If applicable, you are required to provide this information below.
Managing Agent or Management Company Name

First Name of Agent or Company Name Last Name of Agent
Managing Agent or Management Company Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Managing Agent Phone
Managing Agent Email
example@example.com
LICENSE ISSUANCE:
- Mail a copy of this application and your check (no cash) to: City of West Chicago, Attn: Rental Licensing, 475 Main Street, West Chicago, IL 60185.
- All license fee payments are due by no later than December 31 of each calendar year. Payments received after January 1 are subject to a 20% late fee (above the base fee) for each month received after the due date.
- All outstanding fines and fees (such as water and garbage services) owed on the above rental property must be paid in full in order for the Rental License to be issued. For further information, please contact the Community Development Department at 630-293-2200, X141.
- When full payment and the completed renewal application are received, your Rental License Certificate will be mailed to the address noted above within 7 to 10 business days.
With my signature below, I certify that all of the information provided here is true and accurate. Furthermore, my signature certifies that I have read and agree with all current City requirements regarding Rental License Renewals and corresponding payments.
Signature *

Clear
Date *

Month Day Year
Date
Should be Empty:

CITY OF WEST CHICAGO

APPLICATION FOR RENEWAL OF RENTAL LICENSE

RENTAL MANAGEMENT & NOTIFICATIONS PREFERENCE:

PROPERTY MANAGER/MANAGEMENT COMPANY INFORMATION:

LICENSE ISSUANCE: