Form Pnm 756-426 - Landlord Standby Service Agreement - Pnm Page 3

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PNM
Attention: Landlord Standby Department
Alvarado Square M/S 2594
Albuquerque, NM 87158
Phone: (505) 246-5700
FAX (505) 246-5770
LANDLORD STANDBY
ND
PNM AUTHORIZATION OF 2
PARTY
I ________________________________________ said owner(s) of the property located at
(Please Print)
______________________________________________________________________________
(Street number and name also include all units associated with said property(ies). )
Albuquerque
NM
87193
_____________________________,
___________________ _________________________
(City)
(State)
(Zip Code)
Advantage Pointe Properties
Give authorization to ____________________________________________________________
(Name of Representative/Agent/Management Company)
to handle my PNM electric account(s) on my behalf.
Advantage Pointe Properties
Name of Representative and/or Company ____________________________________________
P.O. Box 65056
Mailing address ________________________________________________________________
Albuquerque
NM
87193
City _____________________________ State ____________ Zip Code _________________
(888) 875-8717
(505) 205-1581
Phone number __________________________
Fax number ___________________________
Email address (if applicable) _____________________________________________________
Owner Name(s) (printed) _________________________________________________________
Mailing address of owner _________________________________________________________
City _____________________________ State ____________ Zip Code _________________
8717
Home phone number _______________________
Fax number _________________________
Email address (if applicable) _____________________________________________________
Social Security Number(s) or
Federal Tax ID Number _________________________________________________________
________________________________________
__________________________________________
Signature of Owner
Second Owner Signature
(if applicable)
Richard Small
_________________________________________
__________________________________________
(Representative and/or Acting Agent)
(Signature of Representative and/or Acting Agent)
(please print)
nd
Authorization of 2
Party
PNM 756-426 12/08

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