Short-Term Rental Complaint

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Person Making Complaint

First Name

Last Name

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Different Address for Mailing

Is your mailing address different from your physical address?

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Prepared For Someone Else

Are you preparing this for someone else?

Person Preparing Complaint (if different from above)

First Name

Last Name

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Person Preparing Complaint Different Address for Mailing

Is your mailing address different from your physical address?

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Property Information

Property Address

Property Parcel #

Have you contacted the Police Department or 911?

Yes

Date

Description of Complaint

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Pass Christian City Hall
200 W. Scenic Dr.
Pass Christian, MS 39571

228-452-3311 | 228-452-3310

Mayor Jimmy Rafferty
228-452-3311

Short-Term Rental Complaint

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