LANDLORD AGREEMENT PROPERTY OWNER / LANDLORD INFORMATIONService Address (Include City, State, Zip) (required)Landlord Name (required)Landlord Phone (required)Landlord Email (required)Landlord Mailing Address (Include City, State, Zip) (required)NEW TENANT INFORMATIONTenant Name (required)Tenant Phone (required)Tenant Email (required)Tenant Mailing Address (Include City, State, Zip) (required)Date Tenant is moving in (required)**** IN AGREEMENT TO THE TERMS, PLEASE READ AND TYPE NAME AND DATE BELOWBY 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 KEEP AN UPDATED APPLICATION ON FILE WITH SESD INCLUDING S.S. #, DRIVER LICENSE AND/OR TAX I.D./EIN # FOR BUSINESSES.Property Owner / Landlord Type Full Name (required)Date (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
