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Authorization to Bill Tenant

  1. Owner's Permission to Change Billing Information and/or Responsibility
  2. Property Owner Information
  3. Authorization*

    By checking the "I agree" box below, I do hereby authorize the City of Sultan to bill the current tenant(s) occupying property owned/managed by me

  4. Responsibility*

    By checking the "I agree" box below, I fully understand that in accordance with Sultan Municipal Code 13.12.050, I have total responsibility for any, and all utility charges incurred at the above listed property.

  5. Delinquent*

    By checking the "I agree" box below, I further understand that billing of the tenant will be discontinued should the account become delinquent, and any charges incurred in collecting the overdue amounts could become a lien against the property.

  6. Tenant Information
  7. Must be the 1st day of the month - the city does not pro rate bills.

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Leave This Blank:

  10. This field is not part of the form submission.