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LANDLORD AGREEMENT  

May contain: people and person

PROPERTY OWNER / LANDLORD INFORMATION

NEW TENANT INFORMATION

**** IN AGREEMENT TO THE TERMS, PLEASE READ AND TYPE NAME AND DATE BELOW

BY SUBMITTING THIS FORM, I HEREBY AUTHORIZE THAT THE ELECTRIC UTILITY BILL BE CHARGED TO ANOTHER PARTY AND THAT THEY WILL BE REQUIRED TO TURN IN A SERVICE APPLICATION AND PAY THE DEPOSIT OF $250.00. HOWEVER, I ACKNOWLEDGE THAT I AM ULTIMATELY RESPONSIBLE FOR THE PAYMENT OF THIS ELECTRIC SERVICE ACCOUNT. SHOULD THE TENANT DEFAULT ON PAYMENT, I WILL BE RESPONSIBLE FOR ANY PAST DUE CHARGES. I ALSO AGREE TO SUBMIT A "HOMEOWNER'S ACCOUNT APPLICATION" (SEE LINK BELOW) WITH THIS LANDLORD AGREEMENT AND PROVIDE MY S.S. #, DRIVER LICENSE AND/OR TAX I.D./EIN # FOR BUSINESSES.
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