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Agent Cancellation
Owners or agents may complete this form to notify the short term lodging team that an agent is no longer representing a property.
Are you an owner or an agent?
*
Owner
Agent
Does agent remit UTOT on the owner's behalf?
*
Yes
No
Date of Last Rental
*
+
Property Information
Property Address
*
Permit Number
*
Permit Number
Permit Number
Permit Number
Owner Information
Name on Title
*
Name of authorized member if property owner is an LLC, corporation, partnership, or trust
*
Email
*
Phone Number
*
Agent Information
Agency Name
*
Contact Name
*
Contact Email
*
Contact Phone
*
Authorization
I certify this information is true and correct
*
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