Property Owner/Tenant Guarantee Form

 
This form must be signed by the owner prior to the municipality setting up an account in the name of the tenant.

Tenant Information

Property Owner

By virtue of my signature hereon, I hereby grant permission for the municipality to send the utility bill (water and/or sewer charges) to the tenant identified hereon at the tenant's address as provided by me.

As the owner of this service address, I hereby also acknowledge that I assume full responsibility for any water and/or sewer charges and any penalty charges that are billed to my tenant while residing at this address and that may remain unpaid beyond 30 days. I also understand and agree that failure of payment of this account shall result in any outstanding balance being added to my property tax account.

It is the responsibility of the property owner to notify the Municipal Office of any changes to this property's tenancy status. All requests for final meter readings should be received in the billing department at least one week prior to the requested reading date.

The undersigned consents to the obtaining of credit and/or personal information as may be required at any time in the connection with the credit hereby applied for or any renewal or extension thereof and to the disclosure of any credit information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations, and to the property owner.