Mt Sterling Water & Sewer System Rental Property Verification Form

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Mt Sterling Water & Sewer System
PO Box 392 --- 300 E Main Street
Mt Sterling KY 40353
Mt Sterling Water & Sewer System
Rental Property Verification Form
Date:
Landlord:
Landlord's Phone Number:
Landlord's Mailing Address:
Rental Property Address:
Person Property is Rented to:
Any Person Living at Property Over the Age of 18:
Signature of Applicant:
Landlord's Signature:

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