Utility Billing Agreement Sample Contracts

City of Myrtle Creek
Utility Billing Agreement • January 18th, 2024

Whether you have just moved to the community or have relocated, we hope the following information will be helpful. Our objective is to provide you with friendly, professional and efficient customer service.

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Utility Billing Agreement (UBA) for Rental Property
Utility Billing Agreement • June 29th, 2021

PROPERTY INFORMATION Property Address Account Number Select One: Bills to residential tenant Bills to commercial tenant (see below) Bills to manager (see below) COMMERCIAL TENANT OR PROPERTY MANAGER INFORMATION Name Address PRIMARY OWNER NFORMATION Name Date of Birth Mailing Address Email Address Driver’s License Issuing State Expires Home Phone Cellphone ADDITIONAL OWNER INFORMATION (optional) Name Date of Birth

Utility Billing Agreement For Residential Rental Property
Utility Billing Agreement • January 15th, 2020

This original form with signatures from the notary and owner must be returned to the Finance Department by the 25th of the month prior to which it is to take effect. If any part of this form in incomplete or unsiged, or the City does not receive the original, the requested changes will not be implemented. Consideration will not be given on an owing balance as a result of delays in completing or submitting this form.

UTILITY BILLING AGREEMENT
Utility Billing Agreement • July 6th, 2012

The undersigned, whether one or more, hereinafter referred to as CUSTOMER, applies to CITY OF WINFIELD, KANSAS, hereinafter referred to as CITY, for utility services. Utility services shall mean the providing of electric, gas, water, sewer, refuse (trash), or any combination thereof. In consideration of the acceptance of this application by the CITY and the rendering of such service, the CUSTOMER agrees and grants as follows.

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