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MONTICELLO CITY UTILITY APPLICATION BUSINESS
MONTICELLO CITY BUSINESS UTILITY APPLICATION
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Payment will be done in office once form is submitted.
Printable Version
Business Utility Form
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Business Name
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Service Start Date
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Service Address
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Mailing Address
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Business Number
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Tax Number
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Owners Name
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Owners Number
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Email
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Billing Option
Please choose One
Electronic Bill
Paper Bill
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Manager's Name
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Manager's Number
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Do you own or rent?
Please Choose One
Own
Rent
If Renting Landlord Name
Landlord Phone Number
Service Required
Please Choose One
Water
Sewer
Garbage
Secondary Water
Deposit Required $150.00
Deposit Date
I authorize the use of my cell phone (phone calls or SMS/text) and/or email by first or third party exclusively for the use of communication with me regarding my account status at any time. I agree that in the event my account goes delinquent to pay processing fees and 1.5% interest on past due balances from the original due date, plus court costs and reasonable attorney's fees, with or without suit, incurred in collecting any past due balance, and a collection fee if my account is assigned to a collection agency.
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Signature and Date
Monticello City Office Use Below
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Date
Account Number
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