Property Owner / Tenant Account Guarantee Form

Start date:

Utility account number:

Municipal address (including apartment number):

City/Town:

Province:

Postal code:

Current Tenant Information

First name:

Last name:

Mailing address:

City/Town:

Province:

Postal code:

Phone:

Email:

Check if the tenant would like to receive paperless billing for this Utility Account

Property Owner Information

First name:

Last name:

Mailing address:

City/Town:

Province:

Postal code:

Phone:

Email:

I hereby grant permission for the Corporation of The Town of The Blue Mountains to send the Utility Bills (water and/or wastewater charges) under my name care of the tenant identified herein at the tenant’s address as provided by me.

As the owner of this property, I hereby also acknowledge that I assume full responsibility for any water and/or wastewater charges and any associated charges that are billed to me care of my tenant’s address. I also understand and agree that failure of the tenant to pay this account shall result in the outstanding amount being added to my property tax account, to be collected in the same manner as municipal taxes.

The utility account can only be sent care of the tenant effective the beginning or the end of the billing period, and cannot be sent care of the tenant in the middle of a billing period.

I hereby agree to the terms above, and confirm that the information provided in the application is to the best of my knowledge, accurate, truthful and complete.

Date:

It is the responsibility of the property owner to notify the Town of The Blue Mountains Municipal Office of any changes to this property’s tenancy. If this form is not received or the tenant information is incorrect, any and all utility bills for the subject property will be sent to the property owner.

Please note that the Town is not responsible for contacting the owner for tenants’ arrears.

CAPTCHA

Canadian Union of Postal Workers Strike Impacts

Property Owner / Tenant Account Guarantee Form

Current Tenant Information

Property Owner Information