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Get TX Residential Alarm Permit Application - Montgomery County

The permit may be revoked for disciplinary reasons and/or non-payment of fees owed to the Montgomery A POLICE VEHICLE MAY NOT BE DISPATCHED TO YOUR LOCATION UNLESS THE ALARM COMPANY PROVIDES A VALID ALARM PERMIT NUMBER. The Montgomery County Sheriff s Office has policies and procedures which are not specified in the ordinance. Official Use Only Permit Residential Alarm Permit Application Incomplete/Illegible applications will be returned. Applications received without Permit Fee will be returned. Please fill out the form completely then mail the fee application to Montgomery County Alarm Detail PO Box 2178 Conroe TX 77305 2013 Fee Schedule Quarter One October 1 - December 31 Quarter Two January 1 - March 31 Quarter Three April 1 - June 30 Quarter Four July 1 - September 30 New Application 20. 00 15. 00 10. 00 Update Application Applicant Name person with care custody or control and has access or keys to premise. Street Address of Alarm Suite/Apt City State Zip Alarm Type Check all that apply. Audible Bank Burglary Central Fire Medical Robbery Silent Water Flow Other Alarm Company Information Name Phone Email Activation Date Page 2 Homeowner Information Mailing Address E-mail Address Contact Phone Number Please list one local emergency contact within 50 miles of alarm location* Relation Does alarm sound at location Yes No Central Office monitored from a business off-site alarm sounds there Local audible in house only Dialer alarm tone from the touch pad Panel Connection keypad for the alarm at location I hereby certify that the above information is true and correct to the best of my knowledge. Signed Date The applicant or Authorized Agent affirms that all the information contained herein is true and correct to the best of his/her knowledge. This application may be denied for false statements and/or non-payment of all fees owed to the Montgomery County Sheriff s Office. Permits are valid one 1 year from issue date and must be renewed prior to expiration to insure police response. 00 15. 00 10. 00 Update Application Applicant Name person with care custody or control and has access or keys to premise. Street Address of Alarm Suite/Apt City State Zip Alarm Type Check all that apply. Audible Bank Burglary Central Fire Medical Robbery Silent Water Flow Other Alarm Company Information Name Phone Email Activation Date Page 2 Homeowner Information Mailing Address E-mail Address Contact Phone Number Please list one local emergency contact within 50 miles of alarm location* Relation Does alarm sound at location Yes No Central Office monitored from a business off-site alarm sounds there Local audible in house only Dialer alarm tone from the touch pad Panel Connection keypad for the alarm at location I hereby certify that the above information is true and correct to the best of my knowledge. Street Address of Alarm Suite/Apt City State Zip Alarm Type Check all that apply. Audible Bank Burglary Central Fire Medical Robbery Silent Water Flow Other Alarm Company Information Name Phone Email Activation Date Page 2 Homeowner Information Mailing Address E-mail Address Contact Phone Number Please list one local emergency contact within 50 miles of alarm location* Relation Does alarm sound at location Yes No Central Office monitored from a business off-site alarm sounds there Local audible in house only Dialer alarm tone from the touch pad Panel Connection keypad for the alarm at location I hereby certify that the above information is true and correct to the best of my knowledge. Signed Date The applicant or Authorized Agent affirms that all the information contained herein is true and correct to the best of his/her knowledge. .

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