CITY OF BLACKFOOT LANDLORD AGREEMENTLandlord Agreement • January 30th, 2017
Contract Type FiledJanuary 30th, 2017OWNER/LANDLORD INFORMATION Name Co-Owner (if applicable) SS Number SS Number Phone Phone Email Mailing Address (if different than service address) PROPERTY MANAGER INFORMATION (IF DIFFERENT FROM OWNER/LANDLORD) Name Phone Mobile Fax Email Mailing Address (if different than service address) BUSINESS ACCOUNT INFORMATION Company Name Federal Tax ID Registered Agent Name Sole proprietorship Corporation Phone LLC Other E-mail Registered company address City, State ZIP Code EMERGENCY CONTACT (Not living in the home) Name Relationship Phone Email Name Relationship Phone Email