* Required Job Title Required
Owner Name* Required
Owner Address* PO Boxes are not allowed Required
City* Required State* Enter a Valid US State Required Zip* Minimum 5 characters required. Required
Phone* Minimum 10 digit phone required. Required Minimum 10 digit phone required. Required Required Required Required

Title Required
Name Required Required
Contact Address Required PO Boxes are not allowed Required
City Required Required State Enter a Valid US State Required Required Zip Required Minimum 5 characters required. Required
Phone Minimum 10 digit phone required. Required Minimum 10 digit phone required. Required Required
Required Required Minimum 9 digit ssn required. Required

Management Company Required Required Phone Required Required

Emergency Contact Name* Required Emergency Contact Phone* Minimum 10 digit phone required. Required Required

Is this a short term vacation rental?* Required Required

Do you pay a City of North Myrtle Beach water bill?* Yes No Required

Total number of on-site parking spaces compliant with the regulations of sections 21-21.1 through 21-31.1 and 21-44 through 21-51* Required

Estimate gross receipts until April 30, 2025* Required Required