Landlord Form (Permission For Abbeville Public Utilities To Connect Utilities) printable pdf download

Landlord Form (Permission For Abbeville Public Utilities To Connect Utilities)

ABBEVILLE PUBLIC UTILITES

Telephone: 864-366-5058

Fax:

864-366-8052

LANDLORD FORM

SUBJECT:

Permission for Abbeville Public Utilities to connect utilities at

_______________________________________________________________________

(Property address)

As owner of the property listed above, I verify that ______________________________

(Name on lease)

has my permission to connect utilities as of __________________ .

(Date)

According to the information furnished to me, the following persons will be residing

at this address with my permission:

________________________________________________________________________

_______________________________________________________________________ .

I understand the name on the lease must be the same name on the utility account.

Changing the name on a lease to help a tenant prevent payment of utility bills is

considered fraud. Any person found guilty of providing false information on this

statement shall be guilty of a misdemeanor and upon conviction be subjected to fines as

provided in the Code of Ordinance of the City of Abbeville.

____________________________________

(Owner's signature)

____________________________________

(Print name of owner)

________________________________________________________________________

(Print address of owner)

____________________________________

(Landlord's telephone number)

____________________________________

(Date)

Landlord Form (Permission For Abbeville Public Utilities To Connect Utilities)