REAL ESTATE RENTAL FORM
Leasing Forms and Addendums

TRANSFER UTILITIES FORM

 To Applicant / Resident:

 Your rental application has been accepted. However, before you can take possession of the home or apartment, this form must be completed within ______ days and signed by representatives of each utility company that will provide utility service to you. These are services, that according to the rental agreement, you, as a resident, will be responsible for. You must apply in person at each utility company and make the necessary arrangements. Your signature gives permission for the owner/manager to verify the following information provided by the utility company. 

Residents signature__________________________________________

 To Utility Companies:

 We have accepted the following applicant(s)_____________________________

for residency at ____________________________________________________ .

Property is owned or managed by ______________________________________ .

It is important that the utility be put into the residents name as soon as possible to provide correct billing and payments. The above applicant/resident gives permission for the information below to be provided to the owner/manager to complete the rental application process. Thank you for your assistance.

Gas Company - ____________________________________________

Utility to be turned on/transferred to Applicant/Resident on following date:_________

Name on Account _______________________Amount of Deposit Required $ _____

Account Number ______________________________________________________

(Utility Co. Representative / Date)_________________________________________

Electric Power Company - ____________________________________

Utility to be turned on/transferred to Applicant/Resident on following date:_________

Name on Account _______________________Amount of Deposit Required $ _____

Account Number ______________________________________________________

(Utility Co. Representative / Date)_________________________________________

Water Department - ___________________________________________

Utility to be turned on/transferred to Applicant/Resident on following date:_________

Name on Account _______________________Amount of Deposit Required $ _____

Account Number ______________________________________________________

(Utility Co. Representative / Date)_________________________________________