City of Aiken
Rental Property Registration
Neighborhood and Development Services
655 Kershaw Street NE
Post Office Box 1177
Aiken, South Carolina 29802
803-642-7779/ Fax 803-293-2206
*Please note: If other than owner, the person listed as the Local Agent will receive all correspondence
regarding the Rental Property Registration Program.
Type of Ownership: ___Sole Proprietorship
___Partnership
___Corporation
Business License #:____________________________________
OWNER INFORMATION: If the residential rental property is owned by a corporation or some other business entity, Local Agent
information must also be provided on back of this form..
NAME: ________________________________________________________________________________________________
CELL #: (_____)_____________________________________ ALTERNATE # (____)________________________________
HOME ADDRESS: ______________________________________________________________________________________
CITY: ___________________________________________ STATE: ____________
ZIP CODE: _____________
MAILING ADDRESS: ____________________________________________________________________________________
If different than Home Address
E-MAIL ADDRESS: _____________________________________________________________________________________
CO-OWNER(s) INFORMATION:
NAME: ________________________________________________________________________________________________
Phone #: (_____)___________________________________ ALTERNATE # (____)__________________________________
MAILING ADDRESS: ____________________________________________________________________________________
CITY: ________________________________________ STATE: ______________ ZIP CODE: ______________________
E-MAIL ADDRESS: ______________________________________________________________________________
CO-OWNER(s) INFORMATION:
NAME: ________________________________________________________________________________________________
Phone #: (_____)______