City of Cleveland
Department of Building & Housing
Certificate of Rental Registration Payment Coupon
Payment by Mail:
City of Cleveland
Department of Building & Housing
Attn: Rental Registration
601 Lakeside Ave – Room 517
Cleveland, OH 44114-1070
Make check or money order payable to: City of Cleveland
Payments in Person:
Cleveland City Hall – Department of Building & Housing
601 Lakeside Ave – Room 517
Cleveland, OH 44114-1070
In person payment methods: Cash, Check, Money Order, Amex, Visa, Master Card, Discover
Payments online:
ca.permitcleveland.org
---------------------------------------------------------------------------------------
Rental Registration Address: __________________________________________
Invoice/Renewal Number: __________________________ (If known)
Permanent Parcel Number: _________________________
Number of Dwelling Units: _____ X $70.00 Per Unit = Total Fee Due:________
Amount Enclosed:____________
Property Owner Name: _______________________________________
Address: City/State:
Zip:
Certificate of Rental Registration Application
All rental property owners/agents or person in charge of any rental property designed or intended to be used
as rental dwelling units located in Cleveland, OH, whether or not such units are located within the same
structure or any part thereof must register and pay rental registration fees of $70.00 per unit and obtain a
Certificate of Rental Registration issued by the Department of Building & Housing for such structures or units.
No fee is required for the unit that the owner occupies. Please note this not voluntary, it is a requirement of
chapter 365, 369, and 371 of the Cleveland Codified Ordinances.
Applicant/Owner Information
Name:
Phone:
Address:
City: State: ZIP Code:
Alternate Mailing Address:
City: State: ZIP Code:
Cell Phone: Email: Alternate Phone:
Rental Property Information
List onl
y
the address of
p
ro
p
ert
y
that
y
ou are re
g
isterin
g
below.
Pro
p
ert
y
A
ddress: # of Units:
Cit
y
: Cleveland State: Ohio Zi
p
Code:
Name of Tenant at property:
Address: Suite/Unit:
City: Cleveland State: Ohio Zip Code: Phone:
Partnership and Corporation Information
Business Name:
Please list the name of each officer President: Vice Pres.:
General Partner: Other:
Address: City/State: Zip Code:
Alternate Mailing Address: State: Zip Code:
Custodian/Superintendent
Name:
Address: City/State: Zip:
Phone: Cell Phone: Alternate Phone:
Emergency Contacts (please list at least two)
Name: Address: Phone:
If you have questions regarding this application, please call 216-664-2827 or 216-664-2826. Also you may
come in person to Cleveland City Hall 601 Lakeside Ave – Room 517, Cleveland, OH 44114
Signature of applicant:
Date:
