Rental Verification Form
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1RENTAL VERIFICATION FORM
I,
_____________________________,
own
property
located
at
__________________________, which I rented to ________________________
on __________________, ______
I hereby verify his fact and authorize the Red Bay Water & Gas to connect
and supply water service and/or Gas service to said property.
Bills for said services should go to:
Name:
________________________________
Address:
________________________________
________________________________
Telephone: ________________________________
The
last
person
renting
this
property
was
_______________________________. (Not present renter)
_______________________
________________________________
Date
Landlord or Manager
All renters must present (this form at _________________ Utilities
before services can be supplied)
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