City of Oakwood

SERVICE LOCATION:

OCCUPANCY DATE:

CUSTOMER BILLING INFORMATION ( TENANT OWNER )

The customer agrees to perform all obligations under Title Three of Oakwood Ordinances and all other Utility Rules and Regulations.

Applicant:

*Co-Applicant:

*Provide a co-applicant name if you want your spouse, partner. roommate, etc. to be listed on the account, this is helpful to provide proof of residence for things like driver’s license, voting, etc.

Telephone :

E-Mail:

MAILING ADDRESS (IF DIFFERENT FROM SERVICE)

Have you ever resided or owned a property in Oakwood?

Yes - provide the Street address:

Date moved out:

No – provide City / State moving from:

Application completed by customer (Date):

RENTAL PROPERTY? YES NO (if yes and this is a new rental complete property owner guarantee below)

PROPERTY OWNER GUARANTEE — complete below for a new rental.

GUARANTEE: Oakwood Ordinances require that a property owner unconditionally guarantees utility payment and performance by a tenant of all utility obligations referred to in the Title Three of Oakwood Ordinances and any applicable Utility Rules and Regulations. By signing below the Property owner-Guarantor acknowledges that if a tenant fails or refuses to pay a utility bill the property owner shall pay such bill within ten (10 days of written notice of non-payment. Additionally, the Property Owner shall comply with Oakwood Ordinances, Rules and Regulations as they pertain to Oakwood utilities.

Property Owner signature

Today’s Date

Property Owner printed name:

Company Name if Applicable:

Mailing Address:

Telephone #:

E-Mail:

Property manager/Agent Information if applicable:

Do you, the owner, want a copy of the bill when the renter is being billed? Yes No

REFUSE & STORM WATER CHARGES BILLED TO TENANT? Yes No – if unmarked bill will go to owner

UTILITY ACCOUNT SERVICE AGREEMENT