Rental /lease Verification Form printable pdf download

Rental /lease Verification Form

RENTAL /LEASE VERIFICATION FORM

I, _________________________________, do hereby attest that I/we are the Owner/Landlord/

Print Name

Rental Agent for the property located at_____________________________________________

__________________________________________________________

I hereby verify that said property has been rented/leased to the following person(s) and/or entity:

__________________________________________________________

effective_______________________ and that said person(s) or entity is responsible for the

Date

payment of utility bill rendered to said property.

I hereby authorize the Utilities Board of Tuskegee to connect and to provide utility services

to the above stated property.

Owner/Landlord/Rental Agent

_______________

Name: _______________________________

Date:

Print Name

Signature: ____________________________

Attest:

I, ______________________________, a Notary Public, State of Alabama at large, hereby certify

that the person whose name and signature appears above as Owner/Landlord/Rental Agent is

known to be the lawful Owner/Landlord/Rental Agent for the above stated property and personally

appeared before me this the _____________day of __________, 20________.

Upon completion of this form see Mr. Charlie Bowen City Inspector, at the Gomillion Building on the 2nd Floor.

Contact Information: (334) 720-0563 or (334) 421-4806 (Applicable only to customer within the City

Limits)*

Rental /lease Verification Form