Form Center

2. 
4. RESIDENTIAL RENTAL PROPERTY INSPECTION AND REGISTRATION FORM
6. STOP! FOR CREDIT CARD PAYMENTS - Online Registration and Payment
   CLICK HERE

   PROCEED BELOW IF PAYING BY CHECK which you must mail or deliver in person after completing this form.
8. Property Information
10. Address*
12. City*
13. State*
14. Zip Code*
16. Parcel Tax Identification Number (If known)
18. Property Type*

    1. Single-Family
    2. Duplex
    3. Multi-Family
19. # of Units *
    -- Select One --1234
20. Total # of Rented Units *
    -- Select One --1234
22. Utilities
23. Water*

    1. On
    2. Off
24. Electricity*

    1. On
    2. Off
25. Winterized*

    1. Yes
    2. No
29. Property Owner
31. Name*
33. Contact Name*
34. Business Name (If applicable)
36. Address*
38. City
39. State
40. Zip Code
42. Phone Number*
43. Emergency Number*
45. Email Address
49. Property Manager
51. Name*
53. Contact Name*
54. Business Name ( if applicable)
56. Address*
58. City
59. State
60. Zip Code
62. Phone Number*
63. Emergency Number*
65. Email Address
67. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree
69. Landlord/Owner Signature ( or manually sign and date if mailing)*
70. Date
    Date
74. REGISTRATION FEE - $25.00
76. Check Payment
    Make checks payable to: City of Balch Springs. Please sign and return this completed form along with your check to City of Balch Springs, Attn: Permits and Inspections Dept., 13503 Alexander Road, Balch Springs, TX 75181
78. PLEASE COMPLETE AN APPLICATION FOR TEMPORARY WATER SERVICE (if needed)
    Upon submission of your completed registration form and payment for the registration fee, you or your designee are responsible for contacting the City of Balch Springs Permits and Inspections Dept. at 972-286-4477 ext. 124 to schedule your unit inspection.
Leave This Blank:


80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit Submit and Print

* indicates a required field