Pursuant to City Ordinance (Chapter 99), the information below is required to be submitted for a vacant or foreclosed property in the City of Rio Rancho.

Property Address:*

Date Vacated:*

Mortgagee/Financial Institution Name, Mailing Address, FAX Number, and E-mail:*

Mortgagee Registered Agent Name, Mailing Address, and Telephone Number for Billing Purposes:*

(If Mortgagee is Corporation or Out-of Area): Local Property Management Company Name Responsible for Security and Maintenance of the Property:

The registration fee is $50 and is due upon registration. The fee intended to cover city administrative requirements.

To pay by credit card (MasterCard, Visa, American Express, or Discover), please complete the following:

Type of Card:

Amount to Charge:

Credit Card Number:

Name as Shown on Card:

Expiration Date:

CVV2* Code:
*3-digit security code on back of card or 4-digit security code on front of card for American Express

Billing Address (Street, City, State, and Zip Code):