Landlord Information. Please select one: □ I am the Owner of the unit identified above. □ If renting a unit within New York City, I am the Registered Managing Agent for the unit identified above and have attached current proof of registration with HPD. □ I am authorized to sign this agreement and the lease on behalf of the owner of the unit identified above and have attached proof of such authorization. Payment Information Checks should be made payable to on behalf of . (Owner) Relationship of Payee to Owner: Payee Phone Number: Checks should be mailed to the following address: Address: City: State: Zip Code: I understand that I will receive monthly payments of for the Unit for the one year period beginning on .
Landlord Information. The Tenant must be provided a written document containing the names and addresses of the property owner, manager, and all individuals authorized to act on their behalf. This is to meet the requirements found in § 00-00-000 of the Tennessee Code.
Landlord Information. Enter the full landlord’s name and address. Note that this is not the address of the leased property. 3. Tenant Information. Enter the name and address of each tenant. Step 3 – Fill in the Original Lease Details 4. Date of Original Lease Agreement. Write the date of the original lease agreement (in most cases, the date the landlord and tenant signed the original contract). 5.
Landlord Information. Name: Social Security # or Tax ID # Mailing Address: Telephone Number: E-Mail Address:
Landlord Information. Enter the full landlord’s name and address. Note that this is not the address of the leased property. 3.
Landlord Information. Landlord's Agent/Property Manager: Vandelay Group, LLC XX Xxx 000000 Xxxxxxxxx, XX 00000 414.395.8593 Agent for Service of Process: G&K Wisconsin Services, LLC 000 X. Xxxxxxxx Xx. Xxxxx 0000 Xxxxxxxxx, XX 00000 Maintenance Issues: xxx.xxxxxxxxxxxxx.xxx Xxxxxxx Xxxxxx 414.395.8593 Emergencies Fire, Health or Safety: Dial 911
Landlord Information. REFER TO HEAD LEASE, IF APPLICABLE 13 LANDLORD'S NAME: 14 LANDLORD'S FULL MAILING ADDRESS: IF APPLICABLE: 15 LANDLORD'S PROPERTY MANAGER NAME: 16 XXXXXXXX'S PROPERTY MANAGER ADDRESS: 17 IS BUILDING INSURANCE REQUIRED? (REFER TO LEASE OR HEAD LEASE) YES NO ■ ADDITIONAL DETAILS FOR NON-FREE STANDING RESTAURANT LOCATIONS: 18 DOES THIS RESTAURANT HAVE SEATING? YES NO ■ 19 IS THE SEATING DESIGNATED FOR TIM HORTONS GUESTS ONLY? YES NO ■ 20 IS THERE A SEPARATE ENTRANCE DESGINATED FOR TIM HORTONS GUESTS ONLY? YES NO ■ 21 DOES THIS RESTAURANT HAVE A DRIVE THRU? YES NO ■ 22 OTHER NOTES:
Landlord Information. Please supply the following If you are trading as, but are not a limited company you must provide your full name and home address. Postcode * Landlord / Agent’s full name Business Name Business Address Mr/ Mrs / Miss/ Ms Tel No Fax No E-mail Postcode Home Address details Not needed if a limited company Tel No Fax No E-mail Please indicate which address you wish any correspondence to be sent *Business/ Home Have you received Direct Payments from this Authority before? If Yes please give details e.g. under what name and for what properties. No Yes What address does the tenant, to whom this agreement relates, live at? If you have a number of properties in this category please provide a list detailing the requested information on a separate sheet Are you the owner of this property? If you are not the owner of this property, but are the owner’s agent, please state the owner’s No Yes Name For office use only. Landlord Ref Address Postcode Landlord Name Claim Number Tenant’s Name Tenant’s Address Postcode DPA Issued by Date Issued / / Housing Benefit is paid four weekly, in arrears, by BACS and transferred directly to your bank account. You will be sent a schedule detailing each tenant’s payments. Payments cannot be sent to any other account, other than that of the person signing this agreement (or a limited company’s bank account if applicable). Please provide details of the Bank Account you wish to use with this DPA Bank Name Bank Address Account holder Postcode Name Account No Sort Code PLEASE PROVIDE A CURRENT ‘PAYING IN’ SLIP AS PROOF OF ACCOUNT Part 3 Landlord / Agent Declaration Please read and sign the following declaration. If payments are to be made in joint names both persons must sign below. I agree to accept any Housing Benefit due to my tenants directly from Hull Benefits Services and understand that:
Landlord Information. To the Landlord: The ministry may arrange to set up monthly direct deposit payments of the rent directly to the landlord, on the client’s behalf. For more information on how to set up direct deposit, please visit xxx.xxxx.xxx.xx.xx/xxxxxxxx/xxxxxx- deposit-service-providers.html or call 0 000 000-0000. NAME OF REGISTERED OWNER NAME OF LANDLORD OR PROPERTY MANAGER / AGENT (IF DIFFERENT) ADDRESS OF LANDLORD SAME AS ABOVE, OR PROVIDE ADDRESS BELOW: CURRENT PHONE NUMBER OF LANDLORD UNIT # STREET ADDRESS CITY / TOWN POSTAL CODE MAILING ADDRESS (IF DIFFERENT) LANDLORD OR PROPERTY MANAGER'S SIGNATURE DATE (YYYY MMM DD) HR3037 (15/09/30)
Landlord Information. (If Applicable) Landlord: Telephone: ( ) Landlord’s Address: SERVICE INFORMATION: Type Of Service: { } Water { } Sewer { } Water And Sewer { } Other { } New { } Transfer Proposed Use: (Indicate all that apply) { } Residential { } Irrigation { } Commercial { } Other If Commercial or Other, describe: Will there be any irrigation connections? YES NO If yes, will your irrigation system have chemical feed capabilities or an enhanced pressure system? YES No Upon the undersigned Applicant, singly or collectively, complying with all terms and conditions of service, the Georgetown County Water and Sewer District will furnish water service to Applicant at the above referenced property and Applicant shall purchase and receive water service from the District in accordance with the District’s Rates and Charges Resolutions and other applicable service policies, if any. Applicant further agrees to pay all applicable fees and charges for such water service in accordance with the District’s Rates and Charges Resolutions as amended from time to time. All water furnished by the District to Applicant shall be metered by a meter installed, owned, and maintained by the District. The District shall have the exclusive right to locate the water meter, pipeline and appurtenant equipment on the property to connect Applicant to the District’s water system. The meter and service connection is for the sole use of Applicant and is to provide service to only one (1) dwelling or one (1) business on the property. Applicant shall allow the District access to the District’s meter, pipeline and appurtenant equipment on the property at all times for any purpose connected with, or in the furtherance of, the District’s water utility operations. In addition, the District shall have the right to enter upon the property and remove its meter, pipeline or appurtenant equipment upon disconnection or discontinuance of service to Applicant. Applicant is expressly prohibited from (i) attempting to tamper with or bypass the meter, (ii) diverting water service from the property to another tract or parcel of land, or (iii) sharing, reselling or submetering water to any other person, dwelling, business or property. Any person who intentionally or knowingly causes impairment or interruption of the District’s public water supply, or causes it to be diverted in any manner, shall be reported by the District for possible prosecution under South Carolina Code of Laws. Applicant shall install, at Applicant’s own ex...
