Section 1 of 1 in this document

City of Big Rapids New Tenant Utility Billing Form

Name of Tenant

Rental Property Address

Phone Number

Tenant must provide copy of Lease, please attach this here

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LEASE AND DEPOSIT ARE REQUIRED TO PUT UTILITY BILL IN YOUR NAME. PLEASE CALL 231-592-4005 TO PAY DEPOSIT.

How many people will be living in this home?

Permanent Address

Would you like to have your bill emailed to you?

Yes

Please sign here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.