Residential Rental Registry

You can fill out the application online here:

    Name (required)

    Email (required)

    Property Information

    Address of Premise (required): House Number and Street Name

    PIDN (required): Property Identification Number

    Number of Units at this Address (required):

    Business License

    Kenton County Occupational License Number (required):

    Owner Information

    Owner Type (required):

    Owner Name (required) Full Legal Name of Ownership as Listed on Deed

    Mailing Address (required):

    City, State, Zip (required):

    Phone Number (required):

    Email Address (required):

    Emergency Contact Information
    Please Complete if the Emergency Contact is Different than the Property Owner

    Emergency Contact Name:

    Emergency Phone Number:

    Emergency Contact Email:

    Sign & Submit
    I verify the information provided above is true and correct.

    Singnature (required):

    Date Submitted (required):