Registration Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Complex Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Complex Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Complex Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Building and Apartment Information

How many buildings are in the complex? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How many apartment units are in the complex? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is there a pool? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Site Plan

If an accurate copy of the site plan is on file from your last registration and if no changes have been made at the property, it will not be necessary to submit another site plan. If we do not have a site plan, or changes have occurred, please follow the steps below.

Attach a copy of a site plan that depicts:

The location of each building within the complex;
Apartment numbers/address for each building;
A description of the use for each building (pool house, mail center, etc.);
Parking locations and number of spaces;
Trash receptacle/dumpster locations;

Site plan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Security System

Is there a security system on the property? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is the system monitored? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Monitoring company name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Monitoring company phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are the security gates on the property which restrict vehicle/pedestrian access? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are there bars across the windows for the purposes of security? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do the spleeping room windows have emergency escape mechanisms? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If you have a question specifically about your master codes for a security system, please call 817-276-4221.

Copy of the Master Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Fire Alarm System

Are smoke alarms battery powered only? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are smoke alarms wired to the building's electrical system? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is there a fire alarm system on the property? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is the system manual? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is the system monitored? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Fire Alarm System Monitoring Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Fire alarm system monitoring company phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Information

Ownership type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If there is more than one (1) owner, or this is a corporation, joint venture, partnership, trust, or other similar ownership, list each individual including board of directors. The name or title of the property owner listed on this form should match the deed record filed with the appropriate county and appraisal district.

DBA(Doing Business As) Owner Information (If Application)

DBA owner name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

DBA owner address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

DBA owner telephone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

DBA fax number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

DBA Tax I.D. Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner

Item {binding ItemNumber}

Company name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Contact name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Residence Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner business phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner residence phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner cell phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner driver license number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner date of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

On what date was this property purchased? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Mortgagee Information

If the property is mortgaged, list information regarding all mortgages. A mortgagee is a person, agency, business or institution who takes a mortgage on another’s property as security for a debt or obligation.

Mortgagee

Item {binding ItemNumber}

Company name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Contact name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Registered Agent's Information

If any owner permanently resides outside of Texas they must designate an agent to receive service of legal notice.

Agent name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Registered agent's address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Registered agent's phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property Management

Property management company name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property management company address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property management company phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property manager name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property manager address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property manager business phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property manager cell phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Onsite manager name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Onsite manager address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Onsite manager business phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Onsite manager cell phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Emergency Contact Information

In the event of fire, natural disaster, flood, burst pipes, collapse hazard, violent crime or emergency conditions, who are the designated employees or authorized representatives assigned to respond during any twenty-four hour period of time?

Contact

Item {binding ItemNumber}

Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Contact physical address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Contact cell phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Billing Information

Billing name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Billing email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Would you prefer future registrations be emailed? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Billing address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Billing phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Agreements

Registration authorized by {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Registration completed by {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

I affirm that the information on this application is true to the best of my knowledge and belief. If the complex is sold to a new owner, corporation or partnership, you must notify the City within 30 days. Failure to comply with this requirement may result in penalties as established by the City Code. We do not accept payments with your application. Please remit payments to: City of Mansfield, 620 S. Wisteria St., Mansfield, Texas, 76063. You may contact our office at 817-276-4221. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}