City of Hot Springs Form Center

2. Short Term Rental Information
4. Company Name
6. Address Line 1*
8. Address Line 2
10. City*
11. State*
    -- Select One --ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
12. Zip*
14. Unit Type*

    1. Single Family
    2. Unit within HPR (Condo)

    1. Duplex
    2. Townhouse

    1. Unit within Multi-Family Structure
    2. Accessory Structure (Detached Garage Apt)
16. Owner Information
18. Name*
20. Address Line 1*
22. Address Line 2
24. City*
25. State*
    -- Select One --ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
26. Zip*
28. Phone Number*
29. Cell Phone
31. Email Address*
33. Local Contact Information

    1. Yes

    1. No

    
    

    Is the Local Contact different from the Owner?

35. Name
37. Address Line 1
39. Address Line 2
41. City
42. State
    -- Select One --ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
43. Zip
45. Phone Number
46. Cell Phone
48. Email Address
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

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